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San Gabriel Valley Diagnostic Center Medical Group
Diagnostic Radiology Physician in West Covina, California
NPI 1790725141

San Gabriel Valley Diagnostic Center Medical Group is a Diagnostic Radiology Physician based in West Covina, CA and is specialized in Diagnostic Radiology. San Gabriel Valley Diagnostic Center Medical Group practices in West Covina, CA. The NPI Number for San Gabriel Valley Diagnostic Center Medical Group is 1790725141 and holds a License No. (California).

The current practice location address for San Gabriel Valley Diagnostic Center Medical Group is 1509 W Cameron Ave, West Covina, CA and can be reached out via phone at 626-962-3525 and via fax at 626-962-0032.

Location: 1509 W Cameron Ave, West Covina, CA, 91790-2725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790725141
Provider Name
San Gabriel Valley Diagnostic Center Medical Group
Credential
Provider Entity Type
Organization
Address
1509 W Cameron Ave, West Covina, CA, 91790-2725
Phone Number
626-962-3525
Fax Number
626-962-0032
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ11986Z 01 CA BLUE SHIELD OF CALIF
GR0023300 05 CA
institution
Provider Business Practice Location Address Details
Address
1509 W Cameron Ave
City
West Covina
State
California
Zip
91790-2725
Phone Number
626-962-3525
Fax Number
626-962-0032
person
Provider Business Mailing Address Details
Address
1509 W Cameron Ave
City
West Covina
State
California
Zip
91790-2725
Phone Number
626-962-3525
Fax Number
626-962-0032
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
()
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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