SUTTER GOULD MEDICAL FOUNDATION NPI 1104083377

NPI Information

SUTTER GOULD MEDICAL FOUNDATION is a diagnostic radiology radiology in Carlsbad, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SUTTER GOULD MEDICAL FOUNDATION NPI is 1104083377. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3585 GORGE PL
CARLSBAD, CA
ZIP 92010-083
Phone: (209) 521-6097

The provider's authorized official is Steven A Mitnick .
The authorized official title is Medical Director and has the following contact phone number (209) 521-6097.

The CLIA number assigned to this NPI record is 05D1100601 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 5/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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