National Provider Identifier Database

TUSTIN TELERADIOLOGY MEDICAL GROUP INC
Radiography Radiologic Technologist

A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

TUSTIN TELERADIOLOGY MEDICAL GROUP INC.
13422 NEWPORT AVE
SUITE I
TUSTIN, CA92780-3746
Phone: 714-665-6900
Fax: 714-665-6904
Website:
Specialty Taxonomy Code
* Radiography Radiologic Technologist 2471C3402X

* Indicates primary specialty

NPI Profile & details for TUSTIN TELERADIOLOGY MEDICAL GROUP INC.

NPI Number 1326086703
Legal business name
LBN
TUSTIN TELERADIOLOGY MEDICAL GROUP INC.
Authorized official THOMAS ATLAS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/04/2006
Last updated 01/01/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: G74535
  • CA Medicaid: 00G745350
  • NV Medicaid: 002082232
  • CA Other: ZZZ57939Z BLUE SHIELD GROUP NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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