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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up