Organization · Type 2 NPI

Faculty Medical Group of Llusm

Diagnostic Radiology Physician · Colton, CA

NPI number 1124259015 Active

Practice location

900 E Washington St Ste 150
Colton, CA 92324-4119

Mailing address

File # 54701
Los Angeles, CA 90074-4701

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.

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About NPI 1124259015

Faculty Medical Group of Llusm's National Provider Identifier is 1124259015, issued on Jul 27, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Colton, CA. The record was last updated on Aug 28, 2009.