OLIVE BRANCH DIAGNOSTIC IMAGING INC NPI 1316361785

NPI Information

OLIVE BRANCH DIAGNOSTIC IMAGING, INC is a sonography radiologic technologist in Rancho Cucamonga, CA. OLIVE BRANCH DIAGNOSTIC IMAGING, INC NPI is 1316361785. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Olive Branch Imaging.

The provider's business location address is:

10722 ARROW RTE
SUITE 520
RANCHO CUCAMONGA, CA
ZIP 91730-808
Phone: (909) 332-3334
Fax: (909) 233-3925

The provider's authorized official is Tasha Stokes .
The authorized official title is Owner and has the following contact phone number (909) 332-3334.

The enumeration date for this NPI number is 2/6/2014 and was last updated on 2/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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