# RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730160276
- **Authorized official:** DR. JONATHAN BRESLAU M.D. (PRESIDENT)
- **Authorized official phone:** (916) 646-8300

## Contact information

- **Practice address:** 6600 MADISON AVE, SUITE 11, CARMICHAEL, CA 95608-0645
- **Practice address phone:** (916) 961-4910
- **Practice address fax:** (916) 961-4903
- **Mailing address:** 1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
- **Mailing address phone:** (916) 646-8406
- **Mailing address fax:** (916) 920-4434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 10/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0092582 | — | CA |