Organization
NORTH COUNTY RADIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT RAYMOND (CEO)
(760) 547-8010
Entity
Organization
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 940-4055
(760) 940-4084
Mailing address
3156 VISTA WAY, SUITE 100, OCEANSIDE, CA 92056-3622
(760) 547-8000
(760) 547-8001
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
BL50458687
CA
2085N0904X
Nuclear Radiology Physician
BL50458687
CA
2085R0202X
Diagnostic Radiology Physician
BL50458687
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
BL50458687
CA
2085U0001X
Diagnostic Ultrasound Physician
BL50458687
CA
363A00000X
Physician Assistant
BL50458687
CA
Other
Enumeration date
10/16/2006
Last updated
02/14/2011
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