ROLLING OAKS RADIOLOGY MEDICAL CORP CORPORATION NPI 1639122757

NPI Information

ROLLING OAKS RADIOLOGY MEDICAL CORP CORPORATION is a diagnostic radiology radiology in Thousand Oaks, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ROLLING OAKS RADIOLOGY MEDICAL CORP CORPORATION NPI is 1639122757. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

415 ROLLING OAKS DR
THOUSAND OAKS, CA
ZIP 91361-029
Phone: (805) 778-1513

The provider's authorized official is Robert Princenthal .
The authorized official title is Medical Director and has the following contact phone number (805) 778-1513.

The CLIA number assigned to this NPI record is 05D0705442 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/18/2006 and was last updated on 2/7/2013.

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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