| NPI | 1053355792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C ROOSSIN President 949-764-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207U00000X Nuclear Medicine | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-07-22 |