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Organization

CENTRELAKE MEDICAL GROUP INC

Active
Other names
CENTRELAKE IMAGING & ONCOLOGY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AMAR A LASPI (COO)
(626) 331-6866
Entity
Organization

Contact information

Practice address
1183 E FOOTHILL BLVD, SUITE 235, UPLAND, CA 91786-4079
(909) 216-6206
Mailing address
3115 E GUASTI RD, ONTARIO, CA 91761-7853
(877) 723-2546
(909) 212-6252

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
04/14/2010
Last updated
06/08/2022
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