# WILLIAM M. KELLY M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WILLIAM M. KELLY M.D., INC.
- **Other names:** Open MRI of Loma Linda
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295718161
- **Legal business name:** WILLIAM M. KELLY M.D., INC.
- **Authorized official:** MS. MELONIE STORER (CREDENTIALING ADMINISTRATOR)
- **Authorized official phone:** (951) 302-2223

## Contact information

- **Practice address:** 11360 MOUNTAIN VIEW AVE, SUITE C, LOMA LINDA, CA 92354-3861
- **Practice address phone:** (909) 478-3300
- **Practice address fax:** (909) 478-3900
- **Mailing address:** 44489 TOWN CENTER WAY, STE. D, PALM DESERT, CA 92260-2789
- **Mailing address phone:** (760) 776-9777
- **Mailing address fax:** (760) 776-4999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | A34125 | CA | Yes |
| 2085R0202X | Diagnostic Radiology Physician | A34125 | CA | — |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 01/12/2010