MEDICARE: EMMALEIGH PRICE R.T.(R)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	1091857	CA

General Provider Information

NPI Number	:	1730023847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMALEIGH PRICE R.T.(R)

Provider Business Mailing Address
First Line	:	110 XAVIER CT
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058-7795
Country	:	US
Telephone Number	:	405-588-3044
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MERCY CIRCLE
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058
Country	:	US
Telephone Number	:	405-588-3044
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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