Renaissance Radiology Medical Group, Inc. in Rancho Cucamonga - Diagnostic Radiology

Renaissance Radiology Medical Group, Inc. - NPI 1134200983

Renaissance Radiology Medical Group, Inc. is a Diagnostic Radiology in Rancho Cucamonga, California. Renaissance Radiology Medical Group, Inc. practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Renaissance Radiology Medical Group, Inc. is 1134200983. The last update date is 2011-07-21.

Renaissance Radiology Medical Group, Inc.'s current location address is 8599 Haven Ave., Rancho Cucamonga, California. You can contact this provider via phone number 9096208180 and fax number 9099197288. The mailing address for Renaissance Radiology Medical Group, Inc. is 8599 Haven Ave., Rancho Cucamonga, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Renaissance Radiology Medical Group, Inc.
Address 8599 Haven Ave., Rancho Cucamonga, California
Phone Number 9096208180
Fax Number 9099197288
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT,
Authorized Official Name Kief-Garcia Lynne Monika
Credentials M.D.
Telephone Number 9096208180

NPI Number Detail

NPI Number 1134200983
Provider Enumeration Date 2006-10-18
Last Updated Date 2011-07-21

Provider Mailing Address Detail

Address 8599 Haven Ave.
City Rancho Cucamonga
State California (CA)
Post Code 917304849
Phone Number 9096208180
Fax Number 9099197288

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C08660 CA BUSINESS LICENSE
GR0085394 CA --
GR008539C CA --
GR0085392 CA --
GR008539K CA --
GR008539F CA --
GR008539B CA --

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FAQs about Renaissance Radiology Medical Group, Inc.

What is the unique 10-digit identifier code assigned to Renaissance Radiology Medical Group, Inc. by the Centers for Medicare & Medicaid Services?

The Renaissance Radiology Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1134200983 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Renaissance Radiology Medical Group, Inc.?

The Renaissance Radiology Medical Group, Inc. is situated at 8599 Haven Ave., in the city of Rancho Cucamonga, state of CA, with the zip code 917304849.

What is Renaissance Radiology Medical Group, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Renaissance Radiology Medical Group, Inc.'s area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1134200983 to Renaissance Radiology Medical Group, Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1134200983 to Renaissance Radiology Medical Group, Inc. on 2006-10-18.

When was the information pertaining to Renaissance Radiology Medical Group, Inc. most recently updated or revised?

The details related to Renaissance Radiology Medical Group, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2011-07-21.

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