| NPI | 1093860314 |
|---|---|
| Doing Business As | PROFESSIONAL SERVICES MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | SAMUEL ROTENBERG Medical Director 323-589-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-09-04 |