Organization
LA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BOURBEAU (MANAGER)
(760) 599-9545
Entity
Organization
Contact information
Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1205
(760) 599-9545
(760) 599-9549
Mailing address
916 SYCAMORE AVE, VISTA, CA 92081-7815
(760) 599-9545
(760) 599-9549
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G385890
—
CA
05
—
00G501610
—
CA
Enumeration date
11/29/2006
Last updated
02/01/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us