Organization · NPI-2
Southwest Radiology Medical Group
Radiology, Diagnostic Radiology · Monterey Park, CA
NPI number1043313448
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1043313448
- Entity type
- Organization (NPI-2)
- Legal business name
- Southwest Radiology Medical Group
- Organization subpart
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
525 N Garfield AveMonterey Park, CA 91754
Phone 626-573-2222
Mailing address
Po Box 7088Alhambra, CA 91802
Phone 626-289-3855 · Fax 626-289-0993
Authorized official
Floyd C Gardner
President
6262893855
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