Organization
MAGNETIC RESONANCE IMAGING OF SAN LUIS OBISPO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIKUMAR KRISHNASWAMY (OFFICER/AUTHORIZED OFFICIAL)
(972) 713-3500
Entity
Organization
Contact information
Practice address
77 CASA ST STE 102, SAN LUIS OBISPO, CA 93405-5804
(805) 546-7698
(805) 543-5818
Mailing address
77 CASA ST STE 102, SAN LUIS OBISPO, CA 93405-5804
(805) 546-7733
(805) 549-9217
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
08/28/2024
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