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Contact Information

SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC
3075 HEALTH CENTER DR
SHARP MEMORIAL OUTPATIENT PAVILLIONS
SAN DIEGO, CA92123-2773
 Phone: 858-939-5091
 Fax: 858-939-5078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Neuroradiology

2085N0700X
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
 

Nuclear Radiology

2085N0904X
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Pediatric Radiology

2085P0229X
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Radiation Oncology

2085R0203X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC · (Female)

NPI # 1134150949
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2006
Last updated 04/21/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0083814
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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