Digital & Radiologic Imaging Associates Inc. a Medical Group
Organization Active NPI Diagnostic Radiology Physician · Fountain Valley, CA
NPI 1891747200 · NPPES record last updated Feb 27, 2008
Key facts
- NPI
- 1891747200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- DIGITAL & RADIOLOGIC IMAGING ASSOCIATES INC. A MEDICAL GROUP
- Practice address
- 17100 Euclid St
Fountain Valley, CA 92708-4004 - Phone
- (714) 966-8041
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Elliott J. Wagner, M.D.
- Title
- President
- Phone
- (949) 348-1105
Practitioners 26
-
Elliott Jay Wagner, M.D.
-
Anthony D Becker, MD
-
John S Belville, M.D.
-
David Lee Cassidy, M.D.
-
Michael Thomas Forino, M.D.
-
Paul Sungyul Kim, MD
-
Young Chul Kim, MD
-
Elloitt Mercer, M.D.
-
Harold Ivan Nadel, M.D.
-
Karen L Reuss, M.D.
-
Stephen M Simon, MD
-
Glenn R Slocum, M.D.
-
Anthony Stauffer, MD
-
Mehran Tirandaz, M.D.
-
Robert M Turner, M.D.
-
Elise Q Zhu, M.D.
-
Sheldon L Zide, M.D.
-
Michael A Arata, M.D.
-
Farshid Bozorgi, M.D.
-
Yung Cho, MD
-
James J Hasenauer, M.D.
-
Todd E Lempert, M.D.
-
Gen J Maruyama, M.D.
-
Kirk L Ohanian, M.D.
National Provider Directory
Locations
26401 Crown Valley Pkwy
#102
Mission Viejo, CA 92691
Phone (949) 348-1103
Dept LA 21780
Pasadena, CA 91185
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician |
207U00000X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Vascular & Interventional Radiology Physician |
2085R0204X |
Addresses
Primary practice location
17100 Euclid St
Fountain Valley, CA 92708-4004
Mailing address
PO Box 3148
Mission Viejo, CA 92690-1148
Phone (949) 348-1105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ36724Z | Other | CA | BLUE SHIELD |
| GR0019852 | Medicaid | CA |
Other providers in Fountain Valley, CA
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- Lisa Dinh
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All providers in Fountain Valley, CA · Diagnostic Radiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.