CENTRELAKE MEDICAL GROUP INC. NPI 1104293216

NPI Information

NPI: 1104293216
Provider Name: CENTRELAKE MEDICAL GROUP, INC.

Doing Business As: CENTRELAKE IMAGING AND ONCOLOGY

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
10226 LAKEWOOD BLVD
DOWNEY, CA
ZIP 90241
Phone: (562) 287-7205
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CENTRELAKE MEDICAL GROUP, INC. is a radiology clinic center in Downey, CA. CENTRELAKE MEDICAL GROUP, INC. NPI is 1104293216. The provider is registered as an organization entity type.
The provider Is Doing Business As Centrelake Imaging And Oncology.

The provider's business location address is:

10226 LAKEWOOD BLVD
DOWNEY, CA
ZIP 90241-742
Phone: (562) 287-7205
Fax: (909) 786-4391

The provider's authorized official is Arvind Lapsiwala .
The authorized official title is Owner and has the following contact phone number (909) 242-7300.

The enumeration date for this NPI number is 8/24/2015 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	261QR0200X	Clinic/Center	Radiology	282092	CALIFORNIA	Yes
2	261QR0206X	Clinic/Center	Radiology, Mammography	282092	CALIFORNIA	No
3	261QX0203X	Clinic/Center	Oncology, Radiation	282092	CALIFORNIA	No

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: 5/5/2024

NPI Synchronization or Removal

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