CASSIDY MEDICAL GROUP - RADIOLOGY NPI 1083781249

NPI Information

NPI: 1083781249
Provider Name: CASSIDY MEDICAL GROUP - RADIOLOGY
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
145 THUNDER DR
VISTA, CA
ZIP 92083
Phone: (760) 630-5485
Get Directions

CASSIDY MEDICAL GROUP - RADIOLOGY is a diagnostic radiology radiology in Vista, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CASSIDY MEDICAL GROUP - RADIOLOGY NPI is 1083781249. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

145 THUNDER DR
VISTA, CA
ZIP 92083-010
Phone: (760) 630-5485
Fax: (760) 630-5455

The provider's authorized official is Judith M Krueger .
The authorized official title is Executive Director and has the following contact phone number (760) 630-5487.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 11/7/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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: 5/5/2024

NPI Synchronization or Removal

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