SAN GABRIEL VALLEY DIAGNOSTIC CENTER MEDICAL GROUP

WEST COVINA, CA
NPI1790725141
Entity TypeOrganization
Authorized ContactBHARATH KUMAR KRISHNASAMY
Medical Director
626-962-3525
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
Additional Taxonomies2085N0904X Radiology Nuclear Radiology
Enumeration Date2006-06-07
Last Update Date2011-05-25
Business Address
SAN GABRIEL VALLEY DIAGNOSTIC CENTER MEDICAL GROUP
1509 W CAMERON AVE SUITE D
WEST COVINA, CA 91790-2725
Phone number: 626-962-3525
Mailing Address
SAN GABRIEL VALLEY DIAGNOSTIC CENTER MEDICAL GROUP
1509 W CAMERON AVE SUITE D
WEST COVINA, CA 91790-2725
Phone number: 626-962-3525