Organization
ON-LINE RADIOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL SALEN MD (DIRECTOR)
(951) 786-0801
Entity
Organization
Contact information
Practice address
1770 IOWA AVE, SUITE 280, RIVERSIDE, CA 92507-2430
(800) 848-5876
(855) 226-5960
Mailing address
PO BOX 5594, CAROL STREAM, IL 60197-5594
(866) 509-8452
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
CA
Other
Enumeration date
03/20/2008
Last updated
12/05/2018
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