| NPI | 1073759601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN TERESA SONG President 714-904-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA A86825) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A86825) |
| Enumeration Date | 2009-01-03 |
| Last Update Date | 2009-01-03 |