San Diego Diagnostic Radiology Medical Group, Inc.

LBN: San Diego Diagnostic Radiology Medical Group, Inc.
San Diego Diagnostic Radiology Medical Group, Inc. is an health care organization with primary practice located at 765 Medical Center Ct San Diego Imaging - Chula Vista, Chula Vista CA 91911-6600. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Neuroradiology is the primary health care specialty. San Diego Diagnostic Radiology Medical Group, Inc. can be contacted via phone (619) 397-6577, or through Padelford, Richard W via phone (858) 565-0950.

Contact Information

Primary practice address
765 Medical Center Ct San Diego Imaging - Chula Vista Chula Vista CA 91911-6600
Phone: (619) 397-6577
Fax: (619) 397-5182
Website:
Map and Directions
Authorized official contact:
Name: Padelford, Richard W
Phone: (858) 565-0950

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X

Profile Details

NPI number 1548297088
LBN Legal business name San Diego Diagnostic Radiology Medical Group, Inc.
DBA Doing business as
Authorized official Padelford, Richard W
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 22nd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548297088 NPPES
California MEDICAID GR0083811

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