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Organization
POMONA VALLEY IMAGING MEDICAL GROUP INC
Active
Organization
POMONA VALLEY IMAGING MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNSON BENJAMIN LIGHTFOOTE MD (PRESIDENT)
(909) 825-9535
Entity
Organization
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 825-9535
(909) 397-0194
Mailing address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9535
(909) 397-0194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/10/2006
Last updated
04/20/2008
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