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RENAISSANCE RADIOLOGY MEDICAL GROUP INC. NPI 1134200983


NPI Information

NPI: 1134200983
Provider Name: RENAISSANCE RADIOLOGY MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
8599 HAVEN AVE.
SUITE 300
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 620-8180
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RENAISSANCE RADIOLOGY MEDICAL GROUP, INC. is a diagnostic radiology radiology in Rancho Cucamonga, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RENAISSANCE RADIOLOGY MEDICAL GROUP, INC. NPI is 1134200983. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8599 HAVEN AVE.
SUITE 300
RANCHO CUCAMONGA, CA
ZIP 91730-849
Phone: (909) 620-8180
Fax: (909) 919-7288

The provider's authorized official is Monika Lynne Kief-garcia .
The authorized official title is President, Ceo and has the following contact phone number (909) 620-8180.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 7/21/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyCALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR008539FMEDICAIDCALIFORNIA
2ZZZ21607ZMEDICARE PINCALIFORNIA
3ZZZ16508ZMEDICARE PINCALIFORNIA
4ZZZ16505ZMEDICARE PINCALIFORNIA
5GR008539CMEDICAIDCALIFORNIA
6GR0085394MEDICAIDCALIFORNIA
7ZZZ05740ZMEDICARE PINCALIFORNIA
8ZZZ16498ZMEDICARE PINCALIFORNIA
9GR008539BMEDICAIDCALIFORNIA
10ZZZ1716ZMEDICARE PINCALIFORNIA
11ZZZ21609ZMEDICARE PINCALIFORNIA
12ZZZ16497ZMEDICARE PINCALIFORNIA
13GR008539KMEDICAIDCALIFORNIA
14ZZZ17311ZMEDICARE PINCALIFORNIA
15ZZZ18980ZMEDICARE PINCALIFORNIA
16GR0085392MEDICAIDCALIFORNIA
17C08660OTHERCALIFORNIABUSINESS LICENSE
18ZZZ16516ZMEDICARE PINCALIFORNIA
19ZZZ16515ZMEDICARE PINCALIFORNIA
20ZZZ16499ZMEDICARE PINCALIFORNIA

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

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