Organization
ORION RADIOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SLYVIA SANDRA ORTIZ M.D. (PRESIDENT)
(909) 866-6501
Entity
Organization
Contact information
Practice address
41870 GARSTIN DRIVE, BIG BEAR LAKE, CA 92315-0000
(909) 866-6501
(909) 878-8282
Mailing address
PO BOX 545, NEWBURY PARK, CA 91319-0545
(805) 375-8800
(805) 375-8900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G565550
—
CA
Enumeration date
03/19/2008
Last updated
03/19/2008
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