MITCHELL T. GUDMUNDSSON M.D. – NPI #1558503359
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

MITCHELL GUDMUNDSSON is a radiologist located in SAN DIEGO, CA. NPPES has assigned the NPI number 1558503359 to MITCHELL GUDMUNDSSON on March 25, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 11 years ago on Mar 31, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MITCHELL GUDMUNDSSON below.

NPI Profile for
MITCHELL T. GUDMUNDSSON

NPI Number
1558503359
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MITCHELL T. GUDMUNDSSON
Credentials
M.D.
Primary location
200 W. ARBOR DRIVE
SAN DIEGO, CA 92103-8756
Phone: (619) 944-2347 Fax:
Mailing address
1716 5TH ST
MANHATTAN BEACH, CA 90266-6313
Phone: (619) 944-2347 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)		 CA 115317

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MITCHELL GUDMUNDSSON is affiliated with the following medical group(s):
  • HOSPITAL
    • KUAKINI MEDICAL CENTER
      347 NORTH KUAKINI STREET
      HONOLULU, HI 96817
    • PALI MOMI MEDICAL CENTER
      98-1079 MOANALUA ROAD
      AIEA, HI 96701
    • STRAUB CLINIC AND HOSPITAL
      888 SO KING STREET
      HONOLULU, HI 96813
    • THE QUEENS MEDICAL CENTER
      1301 PUNCHBOWL ST
      HONOLULU, HI 96813

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