Organization
SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC
Active
Organization
SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN C. CHEN MD (PRESIDENT/CEO)
(858) 565-0950
Entity
Organization
Contact information
Practice address
3075 HEALTH CENTER DR, SHARP MEMORIAL OUTPATIENT PAVILLIONS, SAN DIEGO, CA 92123-2773
(858) 939-5091
(858) 939-5078
Mailing address
PO BOX 23540, SAN DIEGO, CA 92193-3540
(858) 565-0950
(858) 244-1100
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083814
—
CA
Enumeration date
07/06/2006
Last updated
04/21/2017
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