National Provider Identifier Database

RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC
5 MEDICAL PLAZA DRIVE
SUITE 140
ROSEVILLE, CA95661
Phone: 916-783-8114
Fax: 916-783-8116
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X
Body Imaging 2085B0100X
Diagnostic Ultrasound 2085U0001X
Neuroradiology 2085N0700X
Nuclear Medicine 207U00000X
Pediatric Radiology 2085P0229X
Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC

NPI Number 1629138300
Legal business name
LBN
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC
Authorized official JONATHAN BRESLAU - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/11/2006
Last updated 10/27/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: GR002851P

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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