Organization
CENTRELAKE MEDICAL GROUP INC
Active
Other names
Centrelake Imaging & Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA CEJA (MANAGER)
(909) 242-7300
Entity
Organization
Contact information
Practice address
11436 GARVEY AVE STE D, EL MONTE, CA 91732-3304
(909) 242-7300
(909) 784-3760
Mailing address
3115 E GUASTI RD, ONTARIO, CA 91761-7853
(909) 242-7300
(909) 784-3760
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
05/24/2021
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