| NPI | 1053656769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE BEKETOVA Director 818-201-5839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2019-02-08 |