Provider Demographics
NPI:1457738551
Name:NORCAL RADIOLOGY, LLC
Entity Type:Organization
Organization Name:NORCAL RADIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:SABKRHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-294-7266
Mailing Address - Street 1:14622 VENTURA BLVD
Mailing Address - Street 2:725
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3600
Mailing Address - Country:US
Mailing Address - Phone:408-775-8055
Mailing Address - Fax:
Practice Address - Street 1:2880 ZANKER RD
Practice Address - Street 2:203
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-2117
Practice Address - Country:US
Practice Address - Phone:408-775-8055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty