Organization
VANGUARD HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK IOELE (OWNER)
(909) 356-4132
Entity
Organization
Contact information
Practice address
10557 JUNIPER AVE STE E2, FONTANA, CA 92337-7589
(909) 356-4132
Mailing address
10557 JUNIPER AVE STE E2, FONTANA, CA 92337-7589
(909) 356-4132
(562) 941-4767
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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