Healthcare Provider Details

I. General information

NPI: 1457427767
Provider Name (Legal Business Name): TEMPLETON IMAGING MEDICAL CORPORATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 POSADA LANE C
TEMPLETON CA
93465
US

IV. Provider business mailing address

PO BOX 489 262 POSADA LANE C
TEMPLETON CA
93465
US

V. Phone/Fax

Practice location:
  • Phone: 805-434-1491
  • Fax: 805-434-4997
Mailing address:
  • Phone: 805-434-1491
  • Fax: 805-434-4997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC2061322
License Number StateCA

VIII. Authorized Official

Name: JAMES POOLE CARTLAND
Title or Position: PRESIDENT
Credential: MD
Phone: 805-434-1491