| NPI | 1629156583 |
|---|---|
| Doing Business As | SAN DIEGO IMAGING MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | NORMAN C. CHEN President CEO 858-565-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA B1982005164) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: CA B1982005164) |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: CA B1982005164) | |
| 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: CA B1982005164) | |
| 2085B0100X Radiology, Body Imaging (Licence: CA B1982005164) | |
| 2085N0700X (Licence: CA B1982005164) | |
| 2085N0904X (Licence: CA B1982005164) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CA B1982005164) | |
| 2085R0001X (Licence: CA B1982005164) | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: CA B1982005164) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA B1982005164) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA B1982005164) | |
| 208VP0000X (Licence: CA B1982005164) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA B1982005164) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-03-22 |