Organization
RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC.
Active
Other names
Agile Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY E MARTINEZ M.D. (PRESIDENT)
(831) 476-1542
Entity
Organization
Contact information
Practice address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 637-5711
Mailing address
1661 SOQUEL DR STE G, SANTA CRUZ, CA 95065-1709
(831) 476-1542
(831) 464-8977
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ81760Y
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
02/20/2014
Last updated
06/04/2014
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