Radiology Medical Group Of Santa Cruz County Inc in Santa Cruz - Diagnostic Radiology
Radiology Medical Group Of Santa Cruz County Inc - NPI 1992715601
Radiology Medical Group Of Santa Cruz County Inc is a Diagnostic Radiology in Santa Cruz, California. Radiology Medical Group Of Santa Cruz County Inc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Radiology Medical Group Of Santa Cruz County Inc is 1992715601. The last update date is 2008-03-27.
Radiology Medical Group Of Santa Cruz County Inc's current location address is 1545 Soquel Drive, Santa Cruz, California. You can contact this provider via phone number 8314762569 and fax number 8314648977. The mailing address for Radiology Medical Group Of Santa Cruz County Inc is 1545 Soquel Drive, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Radiology Medical Group Of Santa Cruz County Inc |
|---|---|
| Address | 1545 Soquel Drive, Santa Cruz, California |
| Phone Number | 8314762569 |
| Fax Number | 8314648977 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Averill E Kenneth |
| Credentials | MD |
| Telephone Number | 8314761542 |
NPI Number Detail
| NPI Number | 1992715601 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2008-03-27 |
Provider Mailing Address Detail
| Address | 1545 Soquel Drive |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950651705 |
| Phone Number | 8314762569 |
| Fax Number | 8314648977 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ73806Z | CA | -- | |
| ZZZ74648Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Radiology Medical Group Of Santa Cruz County Inc by the Centers for Medicare & Medicaid Services?
The Radiology Medical Group Of Santa Cruz County Inc has been issued the NPI (National Provider Identifier) 1992715601, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Radiology Medical Group Of Santa Cruz County Inc located?
The Radiology Medical Group Of Santa Cruz County Inc is located at 1545 Soquel Drive, Santa Cruz, CA 950651705.
What is the Radiology Medical Group Of Santa Cruz County Inc's specialty and taxonomy code?
The Radiology Medical Group Of Santa Cruz County Inc's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992715601 to Radiology Medical Group Of Santa Cruz County Inc?
The Radiology Medical Group Of Santa Cruz County Inc received its 1992715601 assignment from the Centers for Medicare & Medicaid Services on 2006-08-08.
When was the Radiology Medical Group Of Santa Cruz County Inc's information last updated?
The Radiology Medical Group Of Santa Cruz County Inc's information was last updated on 2008-03-27.