IndividualActive
Carey Gentry, CRT
NPI 1609320746 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Azusa, CA
Provider details
- NPI number
- 1609320746
- Entity type
- Individual
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Credential
- CRT
- Sex
- Male
- Sole proprietor
- Yes
- License
- RHT00063982 (CA)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense RHT00063982 (CA)
Suppliers
Practice location
333 E Rainbow Dr
Azusa, CA 91702-2134
Phone: (626) 487-9992
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 1537
Monrovia, CA 91017
Registry dates
- Enumerated
- 2016-08-06
- Last updated
- 2022-10-17
- Certified
- 2022-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.