Organization
ARROWHEAD RADIOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICK L ORR M.D. (PRESIDENT)
(909) 580-1580
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1520
(909) 580-1561
Mailing address
PO BOX 26060, FRESNO, CA 93729-6060
(559) 455-4000
(559) 455-4004
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
CA
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
2085R0204X
Vascular & Interventional Radiology Physician
—
CA
2085U0001X
Diagnostic Ultrasound Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0012310
—
CA
Enumeration date
09/13/2006
Last updated
09/30/2008
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