Organization
SAN DIEGO DIAGNOSTIC RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN C. CHEN MD (PRESIDENT/CEO)
(858) 565-0950
Entity
Organization
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 940-7470
(760) 940-4084
Mailing address
PO BOX 23540, SAN DIEGO, CA 92193-3540
(858) 565-0950
(858) 565-2863
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
10/02/2012
Last updated
03/22/2017
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