| NPI | 1013323757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DRAKE Medical Director 818-986-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| 2085U0001X Radiology Diagnostic Ultrasound | |
| 208D00000X General Practice | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-22 |