Organization
OASIS RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON CORD MD (PARTNER)
(760) 775-8066
Entity
Organization
Contact information
Practice address
47-111 MONROE ST, INDIO, CA 92201-6739
(760) 775-8066
(760) 775-8181
Mailing address
DEPT LA 21607, PASADENA, CA 91185-1607
(949) 263-8620
(949) 263-1639
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101540
—
CA
05
—
GR0101541
—
CA
05
—
GR0101542
—
CA
05
—
GR0101543
—
CA
05
—
GR0101544
—
CA
01
—
ZZZ65381Z
BS
CA
01
—
ZZZ67697Z
BLUE SHIELD
CA
01
—
ZZZ67698Z
BLUE SHIELD
CA
01
—
ZZZ67699Z
BLUE SHIELD
CA
01
—
ZZZ67700Z
BLUE SHIELD
CA
Enumeration date
07/07/2006
Last updated
06/13/2008
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