Organization · Type 2 NPI

Kennewick Radiology Group, PC

Diagnostic Radiology Physician · San Marino, CA

NPI number 1114491479 Active

Practice location

765 La Mirada Ave
San Marino, CA 91108-1729

Mailing address

PO Box 4030
Pasco, WA 99302-4030

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

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

2 other providers at this address

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About NPI 1114491479

Kennewick Radiology Group, PC's National Provider Identifier is 1114491479, issued on Jan 18, 2019. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Marino, CA. The record was last updated on Jan 18, 2019.