Organization
PREMIER NEUROIMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY GHOSH MD (PRESIDENT)
(619) 810-1010
Entity
Organization
Contact information
Practice address
6645 ALVARADO RD # 4000, SAN DIEGO, CA 92120-5208
(619) 810-1010
(619) 810-1011
Mailing address
6645 ALVARADO RD # 4000, SAN DIEGO, CA 92120-5208
(619) 810-1010
(619) 810-1011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A62563
CA
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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