LA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC
NPI 1023185428
Clinic/Center - Oncology, Radiation in La Jolla, CA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QX0203X and a focus in Oncology, Radiation.

Active since November 29, 2006

9888 GENESEE AVE, LA JOLLA, CA 92037(760) 599-9545(760) 599-9549 Get Directions Write a Review

NPPES record last updated: February 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About La Jolla Radiology Medical Group Therapy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC (NPI 1023185428) is a healthcare organization registered as an oncology, radiation in La Jolla, California and active in the NPI registry since November 2006. The organization lists Elizabeth Bourbeau, Manager, as its authorized official.

NPPES Registry Identity

NPI1023185428

Entity TypeOrganization

Primary Taxonomy261QX0203X

Legal Business NameLA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC

Location Address9888 GENESEE AVELa Jolla, CA 92037-1205

Mailing Address916 Sycamore AveVista, CA 92081-7815 · (760) 599-9545 · Fax (760) 599-9549

Phone(760) 599-9545

Fax(760) 599-9549

Organization SubpartNo

Authorized OfficialElizabeth BourbeauManager · (760) 599-9545

Enumeration DateNovember 29, 2006

Last NPPES UpdateFebruary 1, 2008

✔ NPI 1023185428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oncology, RadiationAmbulatory Health Care Facilities

Taxonomy Code261QX0203X

9888 GENESEE AVE, La Jolla, CA 92037

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Other Identifiers 3

Medicaid00G385890CA

Medicaid00G501610CA

Medicare PINHW10546CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY DANIEL MEDLEY PHARM. D.

Pharmacist

9888 GENESEE AVE, LJ-18
LA JOLLA, CA 92037

San Diego County (858) 626-6081

MR. DAVID W HODGENS M.D.

Radiology (Radiation Oncology)

9888 GENESEE AVE, DEPARTMENT OF RADIATION ONCOLOGY
LA JOLLA, CA 92037

San Diego County (858) 626-6864

DR. JEAN M MEFFERD M.D.

Radiology (Radiation Oncology)

9888 GENESEE AVE, DEPARTMENT OF RADIATION ONCOLOGY
LA JOLLA, CA 92037

San Diego County (858) 626-6864

DR. SEAN AARON DEITCH M.D.

Emergency Medicine