| San Diego Regional P.e.t. Center, Llc | |
|
7625 Mesa College Dr 102 San Diego CA 92111-5343 | |
| (858) 499-0230 | |
| (858) 499-0231 |
| Full Name | San Diego Regional P.e.t. Center, Llc |
|---|---|
| Speciality | Nuclear Medicine |
| Location | 7625 Mesa College Dr, San Diego, California |
| Authorized Official Name and Position | Tom Cleary (MANAGER) |
| Authorized Official Contact | 8584990230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Regional P.e.t. Center, Llc Po Box 910026 San Diego CA 92191-0026 Ph: () - | San Diego Regional P.e.t. Center, Llc 7625 Mesa College Dr 102 San Diego CA 92111-5343 Ph: (858) 499-0230 |
| NPI Number | 1104879121 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104879121 | NPI | - | NPPES |
| ZZZ08027 | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207U00000X | Nuclear Medicine | (* (Not Available)) | Primary |
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