MOLECULAR IMAGING SORRENTO VALLEY LLC NPI 1437108776

NPI Information

NPI: 1437108776
Provider Name: MOLECULAR IMAGING SORRENTO VALLEY, LLC

Doing Business As: UCSD CENTER FOR MOLECULAR IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
11388 SORRENTO VALLEY RD
SUITE 100
SAN DIEGO, CA
ZIP 92121
Phone: (858) 373-2860
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MOLECULAR IMAGING SORRENTO VALLEY, LLC is a radiology clinic center in San Diego, CA. MOLECULAR IMAGING SORRENTO VALLEY, LLC NPI is 1437108776. The provider is registered as an organization entity type.
The provider Is Doing Business As Ucsd Center For Molecular Imaging.

The provider's business location address is:

11388 SORRENTO VALLEY RD
SUITE 100
SAN DIEGO, CA
ZIP 92121-345
Phone: (858) 373-2860
Fax: (858) 373-2865

The provider's authorized official is Kenneth C Frederick .
The authorized official title is Ceo and has the following contact phone number (858) 642-0032.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 7/24/2007.

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	261QR0200X	Clinic/Center	Radiology	B2003020474	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TG302	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	SORRENTO VALLEY LLC

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: 4/28/2024

NPI Synchronization or Removal

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