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Contact Information

IMGRX SJ VALLEY, INC.
445 11TH STREET
ORANGE COVE, CA93646
 Phone: 559-626-4031
 Fax: 559-626-5070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for IMGRX SJ VALLEY, INC.

NPI Number 1194825265
LBN Legal business name IMGRX SJ VALLEY, INC.
Authorized official MICHAEL BROWN - (VICE PRESIDENT, MANAGED SERVICES)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/25/2006
Last updated 09/20/2022 - About 4 years ago
Identifiers
CA License # PHY54518
CA Medicaid PHA198020
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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