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Organization

FULLY OPEN MRI OF RANCHO BERNARDO LLC DBA POMERADO IMAGING

Active
Other names
Pomerado Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW D POLANSKY M.D. (MANAGING MEMBER)
(760) 520-8500
Entity
Organization

Contact information

Practice address
15725 POMERADO RD, SUITE 109, POWAY, CA 92064-2068
(858) 485-6094
(858) 485-6059
Mailing address
PO BOX 460875, ESCONDIDO, CA 92046-0875
(760) 520-8500
(760) 520-8523

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
3184
CA
261QR0200X
Radiology Clinic/Center
3184
CA

Other

Enumeration date
03/28/2006
Last updated
12/19/2007
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