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SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC. NPI 1376894204


NPI Information

NPI: 1376894204
Provider Name: SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2185 W CITRACADO PKWY
ESCONDIDO, CA
ZIP 92029
Phone: (442) 281-5000
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SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. is a diagnostic radiology radiology in Escondido, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC. NPI is 1376894204. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2185 W CITRACADO PKWY
ESCONDIDO, CA
ZIP 92029-159
Phone: (442) 281-5000

The provider's authorized official is Norman C. Chen .
The authorized official title is President/ceo and has the following contact phone number (858) 565-0950.

The enumeration date for this NPI number is 10/2/2012 and was last updated on 3/22/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0204XRadiologyVascular & Interventional RadiologyNo
22085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HW529MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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