Organization · Type 2 NPI
Socal MR Site Management, Inc.
Diagnostic Radiology Physician · Covina, CA
NPI number
1396774022
Active
Practice location
740 E Arrow Hwy, Suite A
Covina, CA 91722-2144
Fax (626) 967-7821
Mailing address
1037 N Grand Ave Pmb 203
Covina, CA 91724-2048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
Other diagnostic radiology physician providers in Covina
About NPI 1396774022
Socal MR Site Management, Inc.'s National Provider Identifier is 1396774022, issued on Jul 3, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Covina, CA. The record was last updated on Aug 22, 2020.