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Diagnostic Radiology Physician in Fullerton, CA
NPI: 1386740900Primary Practice Location
PROVIDENCE ST. JUDE MEDICAL CENTER
101 E Valencia Mesa Dr, Fullerton, CA
Primary Employer
St Jude Radiology Medical Group Inc
providence.org
HQ Phone
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Get Started for Freearrow_outwardCA State Medical License
CA State Medical License
1986 - 2026

American Board of Radiology
Diagnostic Radiology
Harvard Medical School
hms.harvard.edu
Medical School
Until 1973
Massachusetts General Hospital/Harvard Medical School
Residency • Radiology-Diagnostic
1975 - 1978
Beth Israel Deaconess Medical Center
Residency • Obstetrics and Gynecology
1974 - 1975
Brown University
Internship • Transitional Year
1973 - 1974
| # | Procedure Code (CPT®/HCPCS II) | Procedure Patients | Procedure Volume |
|---|---|---|---|
| 1 | 71045X-ray of chest, 1 view | 463 | 521 |
| 2 | 71046X-ray of chest, 2 views | 390 | 407 |
| 3 | 77067Mammography of both breasts | 162 | 162 |
| 4 | 77063Screening 3d breast mammography | 162 | 162 |
| 5 | 76642Ultrasound of one breast | 79 | 80 |