Organization
SAN ANTONIO RADIOLOGICAL MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY D'AMBRUOSO (ADMINISTRATIVE DIRECTOR)
(909) 456-1250
Entity
Organization
Contact information
Practice address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 466-4231
(909) 456-1255
Mailing address
9320 BASELINE RD, SUITE C, RANCHO CUCAMONGA, CA 91701-5829
(909) 466-4231
(909) 456-1255
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0014700
—
CA
Enumeration date
06/18/2006
Last updated
12/07/2018
Update your record
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