Organization
ENCINITAS IMAGING CENTER LLC
Active
Other names
RAYUS Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA AHERN (SPECIAL ASSISTANT SECRETARY)
(952) 738-4441
Entity
Organization
Contact information
Practice address
345 SAXONY RD, STE 100, ENCINITAS, CA 92024-2787
(760) 436-4155
(760) 436-4034
Mailing address
FILE 57174, LOS ANGELES, CA 90074-0001
(949) 282-6000
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001719
RAILROAD MEDICARE
CA
Enumeration date
04/18/2006
Last updated
10/08/2021
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