Organization
PROGRESSIVE RADIOLOGY SERVICES
Active
Parent organization
PROGRESSIVE RADIOLOGY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSIVE RADIOLOGY SERVICES
Authorized official
SONJA MOELLEKEN M.D. (PRESIDENT/CEO)
(415) 321-4682
Entity
Organization
Contact information
Practice address
1860 EL CAMINO REAL, SUITE 101, BURLINGAME, CA 94010-3127
(510) 865-9670
(510) 865-9680
Mailing address
1201 MARINA VILLAGE PKWY, SUITE 301, ALAMEDA, CA 94501-1087
(510) 865-9670
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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