Organization
RANCHO SANTA FE MEDICAL GROUP, INC.
Active
Other names
MD Portable
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS JOSEPH NAVAZO M.D. (MEDICAL DIRECTOR)
(760) 591-9975
Entity
Organization
Contact information
Practice address
3230 WARING CT STE Q, OCEANSIDE, CA 92056-4509
(760) 591-9975
Mailing address
3230 WARING CT STE Q, OCEANSIDE, CA 92056-4509
(760) 591-9975
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R0510001
—
CA
Enumeration date
02/05/2007
Last updated
02/23/2024
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