Organization
CENTRELAKE MEDICAL GROUP, INC.
Active
Other names
Centrelake Imaging and Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARVIND LAPSIWALA M.D. (OWNER)
(909) 242-7300
Entity
Organization
Contact information
Practice address
10226 LAKEWOOD BLVD, DOWNEY, CA 90241-2742
(562) 287-7205
(909) 786-4391
Mailing address
3115 E GUASTI RD, ONTARIO, CA 91761-7853
(909) 242-7300
(909) 786-4391
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
282092
CA
261QR0206X
Mammography Clinic/Center
282092
CA
261QX0203X
Radiation Oncology Clinic/Center
282092
CA
Other
Enumeration date
08/24/2015
Last updated
05/24/2021
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