| NPI | 1093051518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUBHA M. JAIN Director 818-366-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 247100000X Radiologic Technologist |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2014-09-30 |