Organization
RENAISSANCE RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIKA KIEF GARCIA M.D. (PRESIDENT CEO)
(909) 620-8180
Entity
Organization
Contact information
Practice address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 241-8000
Mailing address
1902 ROYALTY DR, STE 220, POMONA, CA 91767-3056
(909) 620-8180
(909) 469-6741
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
FNP26150
CA
2085R0204X
Vascular & Interventional Radiology Physician
FNP26150
CA
2085U0001X
Diagnostic Ultrasound Physician
FNP26150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG1263
RAILROAD MEDICARE
CA
05
—
GR008539K
—
CA
Enumeration date
06/16/2005
Last updated
06/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us