| NPI | 1093995862 |
|---|---|
| Doing Business As | MD PORTABLE |
| Entity Type | Organization |
| Authorized Contact | LUIS J NAVAZO Technologist 760-591-9975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: CA FAC00052813) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |