| 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 | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104879121 | NPI | - | NPPES |
| ZZZ08027 | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207U00000X | Nuclear Medicine | (* (Not Available)) | Primary |
Stephen M. Daquino, Do; Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
Azam Md & Mcjunkin Prof Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3455 Ingraham St, San Diego, CA 92109 Phone: 619-937-2055 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 |