Organization
ONLINE RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL SALEN (CFO)
(951) 786-0801
Entity
Organization
Contact information
Practice address
1770 IOWA AVE, 280, RIVERSIDE, CA 92507-2430
(951) 786-0801
Mailing address
12700 CENTERVILLE RD, CHICO, CA 95928-8328
(530) 895-0926
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G37314
CA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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