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X-RAY MEDICAL GROUP RADIATION ONCOLOGY INC NPI 1790724565


NPI Information

NPI: 1790724565
Provider Name: X-RAY MEDICAL GROUP RADIATION ONCOLOGY INC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
3075 HEALTH CENTER DRIVE
LEVEL 0
SAN DIEGO, CA
ZIP 92123
Phone: (858) 939-5010
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X-RAY MEDICAL GROUP RADIATION ONCOLOGY INC is a radiation oncology radiology in San Diego, CA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. X-RAY MEDICAL GROUP RADIATION ONCOLOGY INC NPI is 1790724565. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3075 HEALTH CENTER DRIVE
LEVEL 0
SAN DIEGO, CA
ZIP 92123
Phone: (858) 939-5010
Fax: (858) 939-5021

The provider's authorized official is Kena D Galvan .
The authorized official title is Administrator and has the following contact phone number (858) 256-0351.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 2/26/2021.


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
12085R0001XRadiologyRadiation OncologyYes

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
1GR0087890MEDICAIDCALIFORNIA
2GR0087893MEDICAIDCALIFORNIA
3GR0087891MEDICAIDCALIFORNIA
4CJ8070OTHERCALIFORNIARR MEDICARE
5GR0087892MEDICAIDCALIFORNIA

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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