Organization · Type 2 NPI
Centrelake Medical Group Inc
Diagnostic Radiology Physician · El Monte, CA
NPI number
1972070514
Active
Practice location
11436 Garvey Ave Ste D
El Monte, CA 91732-3304
Fax (909) 784-3760
Mailing address
3115 E Guasti Rd
Ontario, CA 91761-7853
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.
About NPI 1972070514
Centrelake Medical Group Inc's National Provider Identifier is 1972070514, issued on Nov 1, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in El Monte, CA. The record was last updated on May 24, 2021.