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RADIATION MEDICAL GROUP INC NPI 1508864000


NPI Information

NPI: 1508864000
Provider Name: RADIATION MEDICAL GROUP INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6699 ALVARADO RD
STE 2109
SAN DIEGO, CA
ZIP 92120
Phone: (619) 229-3838
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RADIATION MEDICAL GROUP INC is a specialist in San Diego, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RADIATION MEDICAL GROUP INC NPI is 1508864000. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6699 ALVARADO RD
STE 2109
SAN DIEGO, CA
ZIP 92120-238
Phone: (619) 229-3838
Fax: (619) 229-3849

The provider's authorized official is Douglas G Myking .
The authorized official title is Cfo/executive Director and has the following contact phone number (619) 220-4100.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 3/3/2009.


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
1174400000XSpecialistYes

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
1W13257EMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2W13257MEDICARE PINCALIFORNIA
3W17952MEDICARE UPINCALIFORNIA
4GR0062072MEDICAIDCALIFORNIA

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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