CENTRELAKE MEDICAL GROUP INC. NPI 1689800377

NPI Information

NPI: 1689800377
Provider Name: CENTRELAKE MEDICAL GROUP, INC.

Doing Business As: CENTRELAKE IMAGING & ONCOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1555 N ORANGE GROVE AVE
POMONA, CA
ZIP 91767
Phone: (909) 635-0411
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CENTRELAKE MEDICAL GROUP, INC. is a diagnostic radiology radiology in Pomona, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CENTRELAKE MEDICAL GROUP, INC. NPI is 1689800377. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Centrelake Imaging & Oncology.

The provider's business location address is:

1555 N ORANGE GROVE AVE
POMONA, CA
ZIP 91767-811
Phone: (909) 635-0411
Fax: (909) 635-0441

The provider's authorized official is Amar Lapsi .
The authorized official title is Coo and has the following contact phone number (626) 331-6866.

The enumeration date for this NPI number is 6/8/2009 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	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: 11/14/2023

NPI Synchronization or Removal

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