NPI 1023482296

Modesto Radiological Medical Group, INC

Organisation Diagnostic Radiology Physician San Luis Obispo, CA

Practice location

Address: 6729 Monte Rd, San Luis Obispo, CA 93401-8050
Phone: (559) 455-4009
Fax: (916) 533-0023
Mailing address: 1524 McHenry Ave Suite 430, Modesto, CA 95350-4500

Authorised official

Name: Mark Moore
Title: Cfo/Coo
Phone: (209) 342-5946

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in California →

Registry record

NPI: 1023482296
Entity type: Organization
NPI issued: 25 Nov 2015
Record last updated: 25 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.