Organization Name: | SOLANO REGIONAL MEDICAL GROUP INC |
NPI Number: | 1063676195 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD B RUSHFORD (MEDICAL DIRECTOR) |
Mailing Address: | 770 Mason St Vacaville |
State: | CA US |
Postal Code: | 956884646 |
Phone Number: | 8004700071 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0206X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mammography |
Taxonomy Definition: |