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Organization
RENAISSANCE RADIOLOGY MEDICAL GROUP, INC
Active
Organization
RENAISSANCE RADIOLOGY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIKA KIEF GARCIA M.D. (CEO PRESIDENT)
(909) 620-8180
Entity
Organization
Contact information
Practice address
5451 WALNUT AVE, CHINO, CA 91710-2609
(909) 620-8180
(909) 469-6741
Mailing address
1902 ROYALTY DR, SUITE 220, POMONA, CA 91767-3030
(909) 620-8180
(909) 469-6741
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
CA
2085R0204X
Vascular & Interventional Radiology Physician
—
CA
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008539B
—
CA
Enumeration date
11/30/2005
Last updated
09/11/2025
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