Organization
RADIOLOGICAL ASSOCIATES MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA BRUCE (CREDENTIALING LEAD)
(559) 455-4009
Entity
Organization
Contact information
Practice address
6729 MONTE RD, SAN LUIS OBISPO, CA 93401-8050
(408) 371-0390
Mailing address
2410 SAMARITAN DR STE 102, SAN JOSE, CA 95124-3909
(408) 371-0390
(408) 371-0462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
02/04/2021
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