Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC
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
5 MEDICAL PLAZA DRIVE, SUITE 140, ROSEVILLE, CA 95661
(916) 783-8114
(916) 783-8116
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
—
—
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR002851P
—
CA
Enumeration date
12/11/2006
Last updated
10/27/2011
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