RENAISSANCE RADIOLOGY MED GRP INC NPI 1316988256

NPI Information

NPI: 1316988256
Provider Name: RENAISSANCE RADIOLOGY MED GRP INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
550 N MONTEREY AVENUE
ONTARIO, CA
ZIP 91764
Phone: (909) 620-8180
Get Directions

RENAISSANCE RADIOLOGY MED GRP INC is a diagnostic radiology radiology in Ontario, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RENAISSANCE RADIOLOGY MED GRP INC NPI is 1316988256. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

550 N MONTEREY AVENUE
ONTARIO, CA
ZIP 91764-318
Phone: (909) 620-8180
Fax: (909) 469-6741

The provider's authorized official is Monika L 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 6/10/2006 and was last updated on 6/24/2008.

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	2085U0001X	Radiology	Diagnostic Ultrasound			No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ17311Z	MEDICARE PIN	CALIFORNIA
2	GR008539G	MEDICAID	CALIFORNIA
3	CG1263	OTHER	CALIFORNIA	RAILROAD MEDICARE

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: 11/14/2023

NPI Synchronization or Removal

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