Renaissance Radiology Medical Group, Inc.
LBN: Renaissance Radiology Medical Group, Inc.
Renaissance Radiology Medical Group, Inc. is an health care organization with primary practice located at 8599 Haven Ave. Suite 300, Rancho Cucamonga CA 91730-4849. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Renaissance Radiology Medical Group, Inc. can be contacted via phone (909) 620-8180, or through Kief-Garcia, Monika Lynne via phone (909) 620-8180.
Contact Information
Primary practice address
8599 Haven Ave. Suite 300
Rancho Cucamonga CA 91730-4849
Phone: (909) 620-8180
Fax: (909) 919-7288
Website:
Authorized official contact:
Name: Kief-Garcia, Monika Lynne Doctor of Medicine (MD)
Phone: (909) 620-8180
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | California | |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1134200983 |
|---|---|
| LBN Legal business name | Renaissance Radiology Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Kief-Garcia, Monika Lynne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jul 21st, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134200983 | NPPES |
| California | Other | C08660 | BUSINESS LICENSE |
| California | MEDICAID | GR0085394 | BUSINESS LICENSE |
| California | MEDICAID | GR008539C | BUSINESS LICENSE |
| California | MEDICAID | GR0085392 | BUSINESS LICENSE |
| California | MEDICAID | GR008539K | BUSINESS LICENSE |
| California | MEDICAID | GR008539F | BUSINESS LICENSE |
| California | MEDICAID | GR008539B | BUSINESS LICENSE |
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