San Gabriel Valley Diagnostic Center Medical Group
San Gabriel Valley Diagnostic Center Medical Group provides Nuclear Radiology Physician services in West Covina, California. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1509 W Cameron Ave Ste DWest Covina, CA 91790-2725 Not confirmed with CMS for 15 years — call before visiting
Phone: (626) 962-3525
Fax: (626) 962-0032
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|---|
| Nuclear Radiology Physician | Taxonomy 2085N0904X |
Record details
| NPI number | 1790725141 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bharath Krishnasamy — Medical Director · (626) 962-3525 |
| NPI enumerated | June 7, 2006 |
| Last updated in NPPES | May 25, 2011 |
| Mailing address | 1509 W Cameron Ave, Suite D, West Covina, CA 91790-2725 |