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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

NPI Number 1134150949
LBN Legal business name SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC
Authorized official NORMAN CHEN - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2006
Last updated 04/21/2017 - About 9 years ago
Identifiers
CA Medicaid GR0083814
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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