Arrowhead Radiology Medical Group Inc
Organization Active NPI Diagnostic Radiology Physician · LK Arrowhead, CA
NPI 1861592610 · NPPES record last updated Aug 12, 2008
Key facts
- NPI
- 1861592610
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- ARROWHEAD RADIOLOGY MEDICAL GROUP INC
- Practice address
- 29101 Hospital Rd
LK Arrowhead, CA 92352-0070 - Phone
- (909) 336-3651
- Fax
- (909) 336-7492
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Fredrick L Orr, M.D.
- Title
- President
- Phone
- (909) 336-3651
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician |
2085N0904X | CA | ||
| Diagnostic Radiology Physician |
2085R0202X | CA | Yes | |
| Vascular & Interventional Radiology Physician |
2085R0204X | CA | ||
| Diagnostic Ultrasound Physician |
2085U0001X | CA |
Addresses
Primary practice location
29101 Hospital Rd
LK Arrowhead, CA 92352-0070
Mailing address
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0012313 | Medicaid | CA |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.