| NPI | 1114908514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BRESLAU President 916-646-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085N0700X Radiology, Neuroradiology | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0203X Radiology, Therapeutic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085R0205X Radiology, Radiological Physics | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2011-10-27 |