Organization
ADVANCED IMAGING OF TRACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M. PORZIO (MD/PRESIDENT)
(209) 833-2393
Entity
Organization
Contact information
Practice address
7208 LOTUS AVE, APT 15, SAN GABRIEL, CA 91755-1255
(209) 833-2393
Mailing address
PO BOX 398091, SAN FRANCISCO, CA 94139-4016
(209) 833-2393
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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