Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
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
6600 MADISON AVE, SUITE 11, CARMICHAEL, CA 95608-0645
(916) 961-4910
(916) 961-4903
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 646-8406
(916) 920-4434
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092582
—
CA
Enumeration date
11/10/2005
Last updated
10/27/2011
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