Organization
SAN DIEGO IMAGING-CHULA VISTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK W PADELFORD (DIRECTOR)
(858) 565-0950
Entity
Organization
Contact information
Practice address
765 MEDICAL CENTER COURT, CHULA VISTA, CA 91911
(619) 397-6577
(619) 502-8585
Mailing address
PO BOX 939054, SAN DIEGO, CA 92193-9054
(858) 565-0950
(858) 244-1100
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
04414006
CA
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
05138506
CA
261QR0200X
Radiology Clinic/Center
Primary
04414006
CA
261QR0200X
Radiology Clinic/Center
05158506
CA
261QR0206X
Mammography Clinic/Center
04414006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083811
—
CA
Enumeration date
06/26/2006
Last updated
12/18/2015
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