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Organization
CENTRELAKE MEDICAL GROUP, INC.
Active
Organization
CENTRELAKE MEDICAL GROUP, INC.
Active
Other names
Centrelake Imaging and Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARVIND LAPSIWALA M.D. (OWNER)
(909) 242-7300
Entity
Organization
Contact information
Practice address
10226 LAKEWOOD BLVD, DOWNEY, CA 90241-2742
(562) 287-7205
(909) 786-4391
Mailing address
3115 E GUASTI RD, ONTARIO, CA 91761-7853
(909) 242-7300
(909) 786-4391
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
282092
CA
261QR0206X
Mammography Clinic/Center
282092
CA
261QX0203X
Radiation Oncology Clinic/Center
282092
CA
Other
Enumeration date
08/24/2015
Last updated
05/24/2021
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