Healthcare Provider Details

I. General information

NPI: 1952536815
Provider Name (Legal Business Name): NUCLEAR MEDICINE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 05/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W PUEBLO ST
SANTA BARBARA CA
93105-4311
US

IV. Provider business mailing address

PO BOX 26570
FRESNO CA
93729-6570
US

V. Phone/Fax

Practice location:
  • Phone: 559-455-4000
  • Fax: 559-455-4007
Mailing address:
  • Phone: 559-455-4000
  • Fax: 559-455-4007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM M PACE
Title or Position: CEO
Credential: MD
Phone: 559-455-4041