| NPI | 1093799108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS GERZENSHTEIN Administrator 310-289-0217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-06-11 |