Organization · Type 2 NPI
San Luis Imaging Medical Group, Inc
Diagnostic Radiology Physician · San Luis Obispo, CA
NPI number
1649682840
Active
Practice location
1100 Monterey St # 200
San Luis Obispo, CA 93401-3102
Fax (805) 542-0584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | FNP27421 (CA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1649682840
San Luis Imaging Medical Group, Inc's National Provider Identifier is 1649682840, issued on May 22, 2014. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Luis Obispo, CA. The record was last updated on May 26, 2026.