Look up the most recent NPI and PECOS records

The Radiation Medical Group Inc

(<Unavail>)

Specialist

Other Service Providers

5395 Ruffin Rd, Ste 103, San Diego, CA 92123-1338

PECOS Enrollment

Based on the most recent information from CMS, provider The Radiation Medical Group Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1831120633
Provider Type
Organization
Full Name
The Radiation Medical Group Inc
Other Name
<Unavail>

Subpart
No
Enumeration Date
7/6/2006
Last Updated
12/20/2011

Contact Information

Practice Location

5395 Ruffin Rd, Ste 103, San Diego, CA 92123-1338

(858) 505-4100

(858) 751-0601

Mailing Location

PO Box 33865, San Diego, CA 92163-3865

(858) 888-7700

(858) 888-7721

Authorized Official

Myking, Douglas (Cfo/Executive Director)

(619) 220-4100

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 7306137	Description Medicaid	Issuer Unlisted California

The Radiation Medical Group Inc

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Sclar, Craig M.

Miller, Veronica

Allergy & Asthma Medical Group & Research Center, A P.C.

Schmitz, Fred

Blackman, Natalia Paige

Meltzer, Eli Owen