Organization
ST JUDE RADIOLOGY MEDICAL GRP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C MORTEN M.D. (PRESIDENT)
(714) 992-3978
Entity
Organization
Contact information
Practice address
2151 N HARBOR BLVD, FULLERTON, CA 92835-3801
(714) 992-3978
(714) 992-3298
Mailing address
PO BOX 4505, WOODLAND HILLS, CA 91365-4505
(805) 375-8800
(805) 375-8900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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