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Organization
RADICAL MEDICAL INC
Active
Organization
RADICAL MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ROSTOKER (SECRETARY)
(562) 503-4668
Entity
Organization
Contact information
Practice address
166 GEARY ST STE 1500, SAN FRANCISCO, CA 94108-5628
(562) 503-4668
Mailing address
32565 GOLDEN LANTERN ST STE B270, DANA POINT, CA 92629-3247
(562) 503-4668
(562) 457-3615
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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