Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Apr 5, 2020
License(s)
A177746 (CA), 2026-00931 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4445 MAGNOLIA AVE | Riverside, CA 92501-4135 | 951-788-3274 |
| MAILING | 4445 MAGNOLIA AVE | Riverside, CA 92501-4135 | 951-788-3274 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.