Organization
ARROWHEAD RADIOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICK L ORR M.D. (PRESIDENT)
(909) 336-3651
Entity
Organization
Contact information
Practice address
29101 HOSPITAL RD, LK ARROWHEAD, CA 92352-0070
(909) 336-3651
(909) 336-7492
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1520
(909) 580-1561
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
CA
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
2085R0204X
Vascular & Interventional Radiology Physician
—
CA
2085U0001X
Diagnostic Ultrasound Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0012313
—
CA
Enumeration date
09/22/2006
Last updated
08/12/2008
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