Provider Demographics
NPI:1144096843
Name:NORTH COUNTY RADIOLOGY ESCONDIDO, LLC
Entity type:Organization
Organization Name:NORTH COUNTY RADIOLOGY ESCONDIDO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-940-4055
Mailing Address - Street 1:1955 CITRACADO PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-4111
Mailing Address - Country:US
Mailing Address - Phone:760-940-4055
Mailing Address - Fax:
Practice Address - Street 1:1955 CITRACADO PKWY STE 100
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-4111
Practice Address - Country:US
Practice Address - Phone:760-743-3873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IMAGING SERVICES ASSOCIATES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-04
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Multi-Specialty
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography