Organization
ON-LINE RADIOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL SALEN M.D. (CFO)
(951) 786-0801
Entity
Organization
Contact information
Practice address
28062 BAXTER RD, MURRIETA, CA 92563-1401
(559) 455-4068
(770) 666-9103
Mailing address
1770 IOWA AVE, 280, RIVERSIDE, CA 92507-2430
(951) 786-0801
(877) 892-0278
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
Other
Enumeration date
10/10/2014
Last updated
12/05/2018
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