Organization
SONOME DIAGNOSTIC MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN NICOLE CACERES RDMS (CEO)
(951) 289-7102
Entity
Organization
Contact information
Practice address
620 W ROUTE 66 STE 107, GLENDORA, CA 91740-4166
(951) 289-7102
Mailing address
620 W ROUTE 66 STE 107, GLENDORA, CA 91740-4166
(951) 289-7102
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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