| NPI | 1043358674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JED GEPPERT PADRE Chief Executive Officer 562-881-9147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2020-08-22 |