Provider Demographics
NPI:1215361951
Name:HEALTH DIAGNOSTICS OF CALIFORNIA, LLC
Entity Type:Organization
Organization Name:HEALTH DIAGNOSTICS OF CALIFORNIA, LLC
Other - Org Name:HEALTH DIAGNOSTICS OF CALIFORNIA - MT. VIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-478-6545
Mailing Address - Street 1:6900 E CAMELBACK RD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-2431
Mailing Address - Country:US
Mailing Address - Phone:480-478-6545
Mailing Address - Fax:623-322-0538
Practice Address - Street 1:105 SOUTH DR
Practice Address - Street 2:SUITE 110
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4311
Practice Address - Country:US
Practice Address - Phone:650-254-1355
Practice Address - Fax:650-254-1354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty