Organization
SAN DIEGO IMAGING - CHULA VISTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK W. PADELFORD (BOARD OF DIRECTORS)
(858) 565-0950
Entity
Organization
Contact information
Practice address
765 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6600
(858) 565-0950
(858) 244-1100
Mailing address
PO BOX 939054, SAN DIEGO, CA 92193-9054
(858) 565-0950
(858) 244-1100
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
044140-06
CA
261QP3300X
Pain Clinic/Center
044140-06
CA
261QR0200X
Radiology Clinic/Center
Primary
044140-06
CA
261QR0206X
Mammography Clinic/Center
044140-06
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083811
—
CA
Enumeration date
11/06/2006
Last updated
10/27/2007
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