Organization
LOS GATOS RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH FORD (RADIOLOGIST)
(888) 582-0814
Entity
Organization
Contact information
Practice address
815 POLLARD RD., LOS GATOS, CA 95030
(888) 582-0814
Mailing address
2209 COFFEE RD STE M, MODESTO, CA 95355
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G42474
CA
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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