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
3581 PALMER DR, SUITE 303, CAMERON PARK, CA 95682-8236
(530) 672-1351
(530) 672-1385
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 646-6406
(916) 920-4434
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR002851M
—
CA
Enumeration date
11/10/2005
Last updated
10/27/2011
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