| NPI | 1063959310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MORGAN President 310-880-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E1613) |
| 213E00000X Podiatrist | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2020-11-19 |