Organization
RENAISSANCE RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIKA KIEF GARCIA M.D. (PRESIDENT CEO)
(909) 620-8180
Entity
Organization
Contact information
Practice address
9041 MAGNOLIA AVE, STE 101, RIVERSIDE, CA 92503-3900
(951) 687-5755
Mailing address
1902 ROYALTY DR, STE 220, POMONA, CA 91767-3056
(909) 620-8180
(909) 469-6741
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging 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
—
GR0085394
—
CA
Enumeration date
06/15/2005
Last updated
08/22/2007
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