Organization
ONBEACH RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANISE CARRAWAY (OPERATIONS MANAGER)
(559) 240-5697
Entity
Organization
Contact information
Practice address
12602 AMARGOSA RD STE F, VICTORVILLE, CA 92392-7640
(760) 261-5000
(760) 243-1123
Mailing address
505 N TUSTIN AVE STE 158, SANTA ANA, CA 92705-3735
(714) 834-1040
(714) 834-1429
Taxonomy
Speciality
Code
Description
License number
State
2085R0205X
Radiological Physics Physician
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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