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Organization
SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.
Active
Organization
SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.
Active
Other names
San Diego Imaging Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN C. CHEN M.D. (PRESIDENT AND CEO)
(858) 565-0950
Entity
Organization
Contact information
Practice address
7910 FROST ST, SUITE 100, SAN DIEGO, CA 92123-2771
(858) 634-5900
(858) 634-5990
Mailing address
PO BOX 23540, SAN DIEGO, CA 92193-3540
(858) 565-0950
(858) 244-1100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083816
—
CA
Enumeration date
12/04/2006
Last updated
03/23/2017
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