Modesto Radiological Medical Group, INC
NPI #1255872552 in Simi Valley, California
Provider Information
- NPI Number
- 1255872552
- Entity Type
- Organization
- Organization Name
- Modesto Radiological Medical Group, INC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Mar 20, 2017
- Last Updated
- Mar 20, 2017
Practice Location
- Address
- 3421 DEEP WATERS CT
- City
- Simi Valley
- State
- California
- ZIP Code
- 93065-0587
- Phone
- (559) 455-4009
Authorized Official
- Name
- MARK E MOORE
- Title
- CFO/COO
- Phone
- (559) 455-4009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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