Organization
RENAISSANCE RADIOLOGY MED GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA L KIEF GARCIA (PRESIDENT CEO)
(909) 620-8180
Entity
Organization
Contact information
Practice address
550 N MONTEREY AVENUE, ONTARIO, CA 91764-3318
(909) 620-8180
(909) 469-6741
Mailing address
1902 ROYALTY DRIVE, SUITE 220, POMONA, CA 91767
(909) 620-8180
(909) 469-6741
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG1263
RAILROAD MEDICARE
CA
05
—
GR008539G
—
CA
Enumeration date
06/10/2006
Last updated
06/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us