Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BRESLAU M.D. (PRESIDENT)
(916) 646-8300
Entity
Organization
Contact information
Practice address
200 BELLA VISTA ROAD, VACAVILLE, CA 95687
(707) 447-0400
(707) 447-0403
Mailing address
1500 EXPO PARKWAY, SACRAMENTO, CA 95815
(916) 646-8300
(916) 920-4434
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR002851A
—
CA
Enumeration date
02/01/2006
Last updated
03/04/2013
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