Organization · Type 2 NPI

Modesto Advanced Diagnostic Imaging Medical Center

Diagnostic Radiology Physician · Modesto, CA

NPI number 1730133893 Active

Practice location

157 E Coolidge Ave
Modesto, CA 95350-4504

Fax (209) 524-1286

Mailing address

1516 Cotner Ave
Los Angeles, CA 90025-3303

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

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 1730133893

Modesto Advanced Diagnostic Imaging Medical Center's National Provider Identifier is 1730133893, issued on May 20, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Modesto, CA. The record was last updated on Dec 29, 2016.