| NPI | 1093371163 |
|---|---|
| Doing Business As | MODERN VASCULAR |
| Entity Type | Organization |
| Authorized Contact | YURY GAMPEL Manager 818-262-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2471V0106X Radiologic Technologist, Vascular-Interventional Technology |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2020-10-05 |