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Centrelake Medical Group Inc
Radiology Clinic/Center in West Covina, California
NPI 1760721112

Centrelake Medical Group Inc is a Radiology Clinic/Center based in Ontario, CA and is specialized in Radiology. Centrelake Medical Group Inc practices in West Covina, CA. The NPI Number for Centrelake Medical Group Inc is 1760721112 and holds a License No. FNP34299 (California).

The current practice location address for Centrelake Medical Group Inc is 1700 W West Covina Pkwy, West Covina, CA and can be reached out via phone at 909-242-7300 and via fax at 909-784-3760.

Location: 1700 W West Covina Pkwy, West Covina, CA, 91761-7853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760721112
Provider Name
Centrelake Medical Group Inc
Credential
Provider Entity Type
Organization
Address
1700 W West Covina Pkwy, West Covina, CA, 91761-7853
Phone Number
909-242-7300
Fax Number
909-784-3760
Provider Enumeration Date
02/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1700 W West Covina Pkwy
City
West Covina
State
California
Zip
91790-2706
Phone Number
909-242-7300
Fax Number
909-784-3760
person
Provider Business Mailing Address Details
Address
1700 W West Covina Pkwy
City
West Covina
State
California
Zip
91790-2706
Phone Number
909-242-7300
Fax Number
909-784-3760
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
FNP34299 (California)
Definition
Definition to come...
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