Provider Demographics
NPI:1417723024
Name:NORTH COUNTY RADIOLOGY ASSOCIATES INC
Entity Type:Organization
Organization Name:NORTH COUNTY RADIOLOGY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:PONEC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
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:858-746-5184
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:760-940-4055
Practice Address - Fax:858-746-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, MammographyGroup - Multi-Specialty