Organization · Type 2 NPI

Renaissance Radiology Med GRP Inc

Diagnostic Radiology Physician · San Bernardino, CA

NPI number 1225012644 Active · reactivated Oct 11, 2007

Practice location

2101 N Waterman Ave
San Bernardino, CA 92404-4836

Call (909) 620-8180 Map

Fax (909) 469-6741

Mailing address

1902 Royalty Drive, Suite 220
Pomona, CA 91767

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 1225012644

Renaissance Radiology Med GRP Inc's National Provider Identifier is 1225012644, issued on Nov 30, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 24, 2008.