Organization · Type 2 NPI

Radiology Medical Group of Santa Cruz County Inc

Diagnostic Radiology Physician · Freedom, CA

NPI number 1306854294 Active

Practice location

108 B Green Valley Road
Freedom, CA 95019-3110

Call (831) 724-2236 Map

Fax (831) 724-8440

Mailing address

1661 Soquel Drive, Building G
Santa Cruz, CA 95065-1709

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.

NPI record

NPI: 1306854294
Entity type: Organization (Type 2)
Issued: Aug 4, 2006
Last updated: Mar 27, 2008
Status: Active
Subpart: Yes of Radiology Medical Group of Santa Cruz County Inc

Other names

<unavail>
South County Imaging · other name

Authorized official

Kenneth E Averill, MD
President
(831) 476-1542

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306854294

Radiology Medical Group of Santa Cruz County Inc's National Provider Identifier is 1306854294, issued on Aug 4, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Freedom, CA. The record was last updated on Mar 27, 2008.