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 16850 Bear Valley Rd , Victorville CA 92395-5794. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Renaissance Radiology Medical Group, Inc. can be contacted via phone (760) 241-8000, or through Kief Garcia, Monika via phone (909) 620-8180.
Contact Information
Primary practice address
16850 Bear Valley Rd
Victorville CA 92395-5794
Phone: (760) 241-8000
Fax:
Website:
Authorized official contact:
Name: Kief Garcia, Monika Doctor of Medicine (MD)
Phone: (909) 620-8180
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | FNP26150 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | FNP26150 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | FNP26150 | California |
Profile Details
| NPI number | 1932104908 |
|---|---|
| LBN Legal business name | Renaissance Radiology Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Kief Garcia, Monika Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jun 24th, 2008 - about 17 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 | 1932104908 | NPPES |
| California | MEDICAID | GR008539K | |
| California | Other | CG1263 |
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