Progressive Radiology Services

NPI #1720256605 in Burlingame, California

Provider Information

NPI Number
1720256605
Entity Type
Organization
Organization Name
Progressive Radiology Services
Subpart
Yes (part of a larger organization)
Parent Organization
PROGRESSIVE RADIOLOGY SERVICES
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Feb 13, 2008
Last Updated
Feb 13, 2008

Practice Location

Address
1860 EL CAMINO REAL
Address 2
SUITE 101
ZIP Code
94010-3127
Phone
(510) 865-9670

Authorized Official

Name
SONJA MOELLEKEN, M.D.
Title
PRESIDENT/CEO
Phone
(415) 321-4682

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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