Organization
I V RADIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HADORN (AUTHORIZED SIGNER)
(559) 455-4127
Entity
Organization
Contact information
Practice address
1200 4TH ST APT 426, SAN FRANCISCO, CA 94158-2440
(559) 455-4127
Mailing address
PO BOX 9, NEWBURY PARK, CA 91319-0009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
03/24/2021
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