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St Jude Radiology Medical Group Inc
Diagnostic Radiology Physician in Fullerton, California
NPI 1649349705

St Jude Radiology Medical Group Inc is a Diagnostic Radiology Physician based in Woodland Hills, CA and is specialized in Diagnostic Radiology. St Jude Radiology Medical Group Inc practices in Fullerton, CA. The NPI Number for St Jude Radiology Medical Group Inc is 1649349705 and holds a License No. (California).

The current practice location address for St Jude Radiology Medical Group Inc is 101 East Valencia Mesa Drive, Fullerton, CA and can be reached out via phone at 714-992-3978. You can also correspond with St Jude Radiology Medical Group Inc through the mailing address at PO BOX 4505, WOODLAND HILLS, CA - 91365-4505 (mailing address contact number: 818-597-3800).

Location: 101 East Valencia Mesa Drive, Fullerton, CA, 91365-4505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649349705
Provider Name
St Jude Radiology Medical Group Inc
Credential
Provider Entity Type
Organization
Address
101 East Valencia Mesa Drive, Fullerton, CA, 91365-4505
Phone Number
714-992-3978
Fax Number
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ49329Z 05 CA
institution
Provider Business Practice Location Address Details
Address
101 East Valencia Mesa Drive
City
Fullerton
State
California
Zip
92835
Phone Number
714-992-3978
Fax Number
person
Provider Business Mailing Address Details
Address
101 East Valencia Mesa Drive
City
Fullerton
State
California
Zip
92835
Phone Number
714-992-3978
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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