Organization
RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP
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
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 781-1777
(916) 781-1427
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 646-8406
(916) 920-4434
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
CA
2085R0202X
Diagnostic Radiology Physician
—
CA
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR002851J
—
CA
Enumeration date
11/10/2005
Last updated
10/26/2011
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