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Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC
Active
Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC
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
5 MEDICAL PLAZA DRIVE, SUITE 140, ROSEVILLE, CA 95661
(916) 783-8114
(916) 783-8116
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 646-8300
(916) 920-4434
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
NULL
207U00000X
Nuclear Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
NULL
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
NULL
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
NULL
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR002851P
—
CA
Enumeration date
12/11/2006
Last updated
10/27/2011
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