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Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Active
Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BRESLAU M.D. (PRESIDENT)
(916) 646-8300
Entity
Organization
Contact information
Practice address
3123 PROFESSIONAL DR, STE 100, AUBURN, CA 95603-2462
(530) 888-8878
(530) 888-7635
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 646-8406
(916) 920-4434
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
CA
2085N0700X
Neuroradiology Physician
Primary
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
CA
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR002851R
—
CA
Enumeration date
11/10/2005
Last updated
10/27/2011
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