Organization · Type 2 NPI

Renaissance Radiology Medical Group, Inc.

Diagnostic Radiology Physician · Riverside, CA

NPI number 1023092541 Active

Practice location

3865 Jackson St
Riverside, CA 92503-3919

Fax (909) 469-6741

Mailing address

1902 Royalty Dr
Pomona, CA 91767-3030

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone listed
Diagnostic Ultrasound Physician 2085U0001XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1023092541

Renaissance Radiology Medical Group, Inc.'s National Provider Identifier is 1023092541, issued on Nov 30, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Riverside, CA. The record was last updated on Jun 24, 2008.