| NPI | 1104511385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHADIJA LEENA GULL Owner 619-732-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2025-09-09 |