Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BRESLAU M.D. (PRESIDENT)
(916) 646-8300
Entity
Organization
Contact information
Practice address
6620 COYLE AVE, 110, CARMICHAEL, CA 95608-6333
(916) 646-8300
(916) 920-4434
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 646-8300
(916) 920-4434
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
11/16/2007
Last updated
10/26/2011
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