SAN GABRIEL VALLEY DIAGNOSTIC CENTER MEDICAL GROUP NPI 1790725141

NPI Information

SAN GABRIEL VALLEY DIAGNOSTIC CENTER MEDICAL GROUP is a diagnostic radiology radiology in West Covina, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SAN GABRIEL VALLEY DIAGNOSTIC CENTER MEDICAL GROUP NPI is 1790725141. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1509 W CAMERON AVE
SUITE D
WEST COVINA, CA
ZIP 91790-725
Phone: (626) 962-3525
Fax: (626) 962-0032

The provider's authorized official is Bharath Kumar Krishnasamy .
The authorized official title is Medical Director and has the following contact phone number (626) 962-3525.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 5/25/2011.

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:

Other Identifiers

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