Organization · Type 2 NPI

Centrelake Medical Group, Inc.

Diagnostic Radiology Physician · Ontario, CA

NPI number 1639137938 Active

Practice location

3115 E Guasti Rd
Ontario, CA 91761-7853

Fax (909) 635-0441

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200XFNP34299 (CA)
Radiation Oncology Clinic/Center 261QX0203XFNP34299 (CA)

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 1639137938

Centrelake Medical Group, Inc.'s National Provider Identifier is 1639137938, issued on May 3, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Ontario, CA. The record was last updated on May 24, 2021.