MEDICARE: CHICO HEALTH IMAGING MEDICAL GROUP, P.C.

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

General Provider Information

NPI Number	:	1992174908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICO HEALTH IMAGING MEDICAL GROUP, P.C.

Provider Business Mailing Address
First Line	:	702 MANGROVE AVE
Second Line	:	#230
City	:	CHICO
State	:	CA
Zip	:	95926-3948
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 SPRINGFIELD DR
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-6398
Country	:	US
Telephone Number	:	530-212-0771
Fax Number	:

Authorized Official
Title or Position	:	RADIOLOGIST
Name	:	ALEXANDER VOGEL
Credential	:	M.D.
Telephone Number	:	530-212-0771

Provider Enumeration Date	:	09/20/2015
Last Update Date	:	09/20/2015

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