Organization
I V RADIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE A RAPP M.D. (MANAGING PARTNER)
(714) 721-8943
Entity
Organization
Contact information
Practice address
207 WEST LEGION ROAD, BRAWLEY, CA 92227-7780
(760) 351-3501
(760) 344-5325
Mailing address
PO BOX 3246, EL CENTRO, CA 92244-3246
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0015900
—
CA
01
—
ZZT30342F
M CAL IP FACILITY ID #
CA
01
—
ZZT40342F
M CAL OP FACILITY ID #
CA
Enumeration date
01/02/2007
Last updated
08/16/2024
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