Organization
CENTRELAKE MEDICAL GROUP, INC.
Active
Other names
Centrelake Imaging & Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMAR A LAPSI (CHIEF OPERATING OFFICER)
(909) 212-6206
Entity
Organization
Contact information
Practice address
3115 E GUASTI RD, ONTARIO, CA 91761-7853
(909) 635-0411
(909) 635-0441
Mailing address
3115 E GUASTI RD, ONTARIO, CA 91761-7853
(909) 635-0411
(909) 635-0441
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
FNP34299
CA
261QX0203X
Radiation Oncology Clinic/Center
FNP34299
CA
Other
Enumeration date
05/03/2006
Last updated
05/24/2021
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