| NPI | 1114063294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN P WEDEEN President 626-357-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA G75574) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |