Organization · Type 2 NPI

St. Jude Radiology Medical Group, Inc.

Diagnostic Radiology Physician · San Diego, CA

NPI number 1790208155 Active

Practice location

8070 Entrada De Luz E
San Diego, CA 92127-2561

Call (714) 992-3978 Map

Mailing address

PO Box 940
Newbury Park, CA 91319-0940

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 1790208155

St. Jude Radiology Medical Group, Inc.'s National Provider Identifier is 1790208155, issued on Jul 18, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Diego, CA. The record was last updated on Jul 18, 2017.