Organization
CENTERLINE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJIVAN SINGH KOHLI MD (OWNER)
(310) 954-9511
Entity
Organization
Contact information
Practice address
154 W FOOTHILL BLVD, SUITE#518, UPLAND, CA 91786-8702
(310) 954-9511
(310) 817-6364
Mailing address
154 W FOOTHILL BLVD, SUITE#518, UPLAND, CA 91786-8702
(310) 954-9511
(310) 817-6364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A109968
CA
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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