Organization · Type 2 NPI

Good Shepherd Healthcare LLC

Diagnostic Radiology Physician · Riverside, CA

NPI number 1609348036 Active

Practice location

9395 Magnolia Ave
Riverside, CA 92503-3747

Call (714) 801-8878 Map

Mailing address

11199 Tesota Loop St
Corona, CA 92883-3059

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	None listed
Therapeutic Radiology Physician	2085R0203X	None listed
Vascular & Interventional Radiology Physician	2085R0204X	None listed
Ambulatory Surgical Clinic/Center	261QA1903X	None listed
Radiology Clinic/Center	261QR0200X	None listed
Mammography Clinic/Center	261QR0206X	None listed
Mobile Radiology Clinic/Center	261QR0208X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Other diagnostic radiology physician providers in Riverside

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NPI record

NPI: 1609348036
Entity type: Organization (Type 2)
Issued: Dec 24, 2018
Last updated: Mar 15, 2021
Status: Active

Other names

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Medical Imaging and Intervention · doing business as
Good Shepherd Healthcare LLC · former legal business name

Authorized official

Dr. Michael Emeel Mousa, MD
Founder/owner
(714) 801-8878

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609348036

Good Shepherd Healthcare LLC's National Provider Identifier is 1609348036, issued on Dec 24, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Riverside, CA. The record was last updated on Mar 15, 2021.