OrganizationDiagnostic Imaging Network Medical Group, Inc.Clinic/CenterAmbulatory Health Care FacilitiesPractice Address165 W Hospitality Ln, Suite 27, San Bernardino, CA 92408-3334(888) 346-3811PECOS EnrollmentBased on the most recent information from CMS, provider Diagnostic Imaging Network Medical Group, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1740384015Provider TypeOrganizationFull NameDiagnostic Imaging Network Medical Group, Inc.SubpartNoEnumeration Date9/8/2006Last Updated7/2/2013Contact InformationPractice LocationPractice Address165 W Hospitality Ln, Suite 27, San Bernardino, CA 92408-3334Phone(888) 346-3811Fax(714) 947-1277Mailing LocationMailing Address165 W Hospitality Ln, Suite 27, San Bernardino, CA 92408-3334Phone(888) 346-3811Fax(714) 947-1277Authorized OfficialNameHoffman, Sim C. (Medical Director)Phone(714) 995-5400Provider TaxonomiesCodeDescriptionLicenseCode261QR0200XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseG43636CaliforniaProvider IdentifiersIDDescriptionIssuerIDGR0084600DescriptionMedicaidIssuerUnlistedCalifornia