Healthcare Provider Details

I. General information

NPI: 1083182331
Provider Name (Legal Business Name): RADIOLOGICAL ASSOCIATES MEDICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 11/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3731 TORREY VIEW CT
SAN DIEGO CA
92130-2623
US

IV. Provider business mailing address

PO BOX 8468
PASADENA CA
91109-8468
US

V. Phone/Fax

Practice location:
  • Phone: 408-371-8346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANUP K SINGH
Title or Position: PRESIDENT
Credential: MD
Phone: 408-371-8346