Organization · Type 2 NPI

Centrelake Medical Group, Inc.

Radiology Clinic/Center · Downey, CA

NPI number 1104293216 Active

Practice location

10226 Lakewood Blvd
Downey, CA 90241-2742

Call (562) 287-7205 Map

Fax (909) 786-4391

Mailing address

3115 E Guasti Rd
Ontario, CA 91761-7853

Specialties and licenses

TaxonomyCodeLicense
Radiology Clinic/Center Primary 261QR0200X282092 (CA)
Mammography Clinic/Center 261QR0206X282092 (CA)
Radiation Oncology Clinic/Center 261QX0203X282092 (CA)

Radiology Clinic/Center: Definition to come...

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About NPI 1104293216

Centrelake Medical Group, Inc.'s National Provider Identifier is 1104293216, issued on Aug 24, 2015. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Downey, CA. The record was last updated on May 24, 2021.