National Provider Identifier Database

SAN DIEGO DIAGONSTIC RADIOLOGY MEDICAL GROUP INC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

SAN DIEGO DIAGONSTIC RADIOLOGY MEDICAL GROUP, INC.
751 MEDICAL CENTER CT
SHARP CHULA VISTA MEDICAL CENTER
CHULA VISTA, CA  91911-6617
Phone: 619-482-3639
Fax: 619-482-4032
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Diagnostic Ultrasound 2085U0001X
Interventional Pain Medicine 208VP0014X
Neuroradiology 2085N0700X
Nuclear Cardiology 207UN0901X
Nuclear Imaging & Therapy 207UN0902X
Nuclear Medicine 207U00000X
Nuclear Radiology 2085N0904X
Pain Medicine 208VP0000X
Pediatric Radiology 2085P0229X
Radiation Oncology 2085R0001X
Radiation Oncology 2085R0203X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for SAN DIEGO DIAGONSTIC RADIOLOGY MEDICAL GROUP, INC.

NPI Number 1225069883
Legal business name
LBN		 SAN DIEGO DIAGONSTIC RADIOLOGY MEDICAL GROUP, INC.
Authorized official NORMAN CHEN - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 07/05/2006
Last updated 04/21/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: B1982005164
  • CA Medicaid: GR0083812

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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