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Organization
SOLANO REGIONAL MEDICAL GROUP INC
Active
Organization
SOLANO REGIONAL MEDICAL GROUP INC
Active
Parent organization
SOLANO REGIONAL MEDICAL GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOLANO REGIONAL MEDICAL GROUP INC
Authorized official
DR. RONALD B RUSHFORD (MEDICAL DIRECTOR)
(707) 434-2049
Entity
Organization
Contact information
Practice address
770 MASON ST, VACAVILLE, CA 95688-4646
(800) 470-0071
Mailing address
PO BOX 254978, SACRAMENTO, CA 95865-4978
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0059866
—
CA
Enumeration date
07/17/2008
Last updated
07/17/2008
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