CENTRELAKE MEDICAL GROUP INC. NPI 1629636006

NPI Information

NPI: 1629636006
Provider Name: CENTRELAKE MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
5562 PHILADELPHIA ST STE 100
CHINO, CA
ZIP 91710
Phone: (909) 242-7300
Get Directions

CENTRELAKE MEDICAL GROUP, INC. is a diagnostic radiology radiology in Chino, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CENTRELAKE MEDICAL GROUP, INC. NPI is 1629636006. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5562 PHILADELPHIA ST STE 100
CHINO, CA
ZIP 91710-482
Phone: (909) 242-7300
Fax: (909) 784-3760

The provider's authorized official is Tania Ceja .
The authorized official title is Manager and has the following contact phone number (909) 242-7300.

The enumeration date for this NPI number is 5/31/2019 and was last updated on 5/24/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »