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
2801 L ST, SACRAMENTO, CA 95816-5615
(916) 733-3067
(916) 733-8925
Mailing address
1500 EXPO PKWY, SACRAMENTO, CA 95815-4227
(916) 646-9406
(916) 920-4434
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
CA
207UN0901X
Nuclear Cardiology Physician
—
CA
207UN0902X
Nuclear Imaging & Therapy Physician
—
—
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
—
CA
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0028513
—
CA
Enumeration date
11/07/2005
Last updated
10/27/2011
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