KENNEWICK RADIOLOGY GROUP PC NPI 1114491479

NPI Information

NPI: 1114491479
Provider Name: KENNEWICK RADIOLOGY GROUP, PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
765 LA MIRADA AVE
SAN MARINO, CA
ZIP 91108
Phone: (559) 455-4009
Get Directions

KENNEWICK RADIOLOGY GROUP, PC is a diagnostic radiology radiology in San Marino, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. KENNEWICK RADIOLOGY GROUP, PC NPI is 1114491479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

765 LA MIRADA AVE
SAN MARINO, CA
ZIP 91108-729
Phone: (559) 455-4009

The provider's authorized official is Sandip Patidar .
The authorized official title is Owner and has the following contact phone number (559) 455-4009.

The enumeration date for this NPI number is 1/18/2019 and was last updated on 1/18/2019.

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: 5/5/2024

NPI Synchronization or Removal

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