| NPI | 1073036315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MORA Technician 562-254-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-26 |