Organization
SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.
Active
Other names
San Diego Imaging Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN C. CHEN M.D. (PRESIDENT CEO)
(858) 565-0950
Entity
Organization
Contact information
Practice address
8745 AERO DR, SUITE 200, SAN DIEGO, CA 92123-1761
(858) 565-0950
(858) 244-1100
Mailing address
8745 AERO DR, SUITE 200, SAN DIEGO, CA 92123-1761
(858) 565-0950
(858) 244-1100
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
B1982005164
CA
207UN0901X
Nuclear Cardiology Physician
B1982005164
CA
207UN0902X
Nuclear Imaging & Therapy Physician
B1982005164
CA
2085B0100X
Body Imaging Physician
B1982005164
CA
2085N0700X
Neuroradiology Physician
B1982005164
CA
2085N0904X
Nuclear Radiology Physician
B1982005164
CA
2085P0229X
Pediatric Radiology Physician
B1982005164
CA
2085R0001X
Radiation Oncology Physician
B1982005164
CA
2085R0202X
Diagnostic Radiology Physician
Primary
B1982005164
CA
2085R0203X
Therapeutic Radiology Physician
B1982005164
CA
2085R0204X
Vascular & Interventional Radiology Physician
B1982005164
CA
2085U0001X
Diagnostic Ultrasound Physician
B1982005164
CA
208VP0000X
Pain Medicine Physician
B1982005164
CA
208VP0014X
Interventional Pain Medicine Physician
B1982005164
CA
Other
Enumeration date
11/01/2006
Last updated
03/22/2017
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