Organization Name: | RADIOLOGICAL ASSOCIATES OF SACRAMENTO MEDICAL GROUP |
NPI Number: | 1700857117 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JONATHAN BRESLAU (PRESIDENT) |
Mailing Address: | 8170 Laguna Blvd Ste 104 Elk Grove |
State: | CA US |
Postal Code: | 95768 |
Phone Number: | 9166861688 |
Fax Number: | 9166841079 |
NPI Enumeration Date: | 02/01/2006 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |