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Centrelake Medical Group Inc
Radiology Clinic/Center in Anaheim, California
NPI 1912572728

Centrelake Medical Group Inc is a Radiology Clinic/Center based in Ontario, CA and is specialized in Radiology. Centrelake Medical Group Inc practices in Anaheim, CA. The NPI Number for Centrelake Medical Group Inc is 1912572728 and holds a License No. (California).

The current practice location address for Centrelake Medical Group Inc is 1900 E La Palma Ave Ste D, Anaheim, CA and can be reached out via phone at 909-242-7300 and via fax at 909-784-3760.

Location: 1900 E La Palma Ave Ste D, Anaheim, CA, 91761-7853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912572728
Provider Name
Centrelake Medical Group Inc
Credential
Provider Entity Type
Organization
Address
1900 E La Palma Ave Ste D, Anaheim, CA, 91761-7853
Phone Number
909-242-7300
Fax Number
909-784-3760
Provider Enumeration Date
05/24/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0103950 05 CA
institution
Provider Business Practice Location Address Details
Address
1900 E La Palma Ave Ste D
City
Anaheim
State
California
Zip
92805-1647
Phone Number
909-242-7300
Fax Number
909-784-3760
person
Provider Business Mailing Address Details
Address
1900 E La Palma Ave Ste D
City
Anaheim
State
California
Zip
92805-1647
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.
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Definition
Definition to come...
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