Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Diego Regional PET Center, LLC

Organization Internal Medicine Physician · NPI 1104879121

San Diego Regional PET Center, LLC is an Internal Medicine Physician in San Diego, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7625 Mesa College Dr 102
San Diego, CA 92111-5343
Phone: (858) 499-0230
Fax: (858) 499-0231
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nuclear Medicine Physician (primary) Taxonomy 207U00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1104879121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Cleary — Manager · (858) 499-0230
NPI enumeratedMay 19, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 910026, San Diego, CA 92191-0026

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