Organization · Type 2 NPI
St. Jude Radiology Medical Group, Inc.
Diagnostic Radiology Physician · South Pasadena, CA
NPI number
1043732001
Active
Practice location
2059 Stratford Ave
South Pasadena, CA 91030-4640
Mailing address
PO Box 940
Newbury Park, CA 91319-0940
Other practice locations
- 2311 4th St Apt 321, Santa Monica, CA 90405-3459 · (714) 992-3978
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1043732001
St. Jude Radiology Medical Group, Inc.'s National Provider Identifier is 1043732001, issued on Jul 12, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in South Pasadena, CA. The record was last updated on Mar 17, 2018.