Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centrelake Medical Group, Inc

Organization Diagnostic Radiology Physician · NPI 1629636006

Centrelake Medical Group, Inc is a Diagnostic Radiology Physician in Chino, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5562 Philadelphia St Ste 100
Chino, CA 91710-2482
Phone: (909) 242-7300
Fax: (909) 784-3760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1629636006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tania Ceja — Manager · (909) 242-7300
NPI enumeratedMay 31, 2019
Last updated in NPPESMay 24, 2021
Certification dateMay 24, 2021
Mailing address3115 E Guasti Rd, Ontario, CA 91761-7853

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