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

Kennewick Radiology Group, PC

Organization Diagnostic Radiology Physician · NPI 1114491479

Kennewick Radiology Group, PC is a Diagnostic Radiology Physician in San Marino, California. Registered with an NPI since 2019.

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

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Practice location Address checks out

765 La Mirada Ave
San Marino, CA 91108-1729
Phone: (559) 455-4009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1114491479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandip Patidar — Owner · (559) 455-4009
NPI enumeratedJanuary 18, 2019
Last updated in NPPESJanuary 18, 2019
Mailing addressPo Box 4030, Pasco, WA 99302-4030

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