| NPI | 1134501257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVEH KHAST General Manager 619-250-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: CA C3697323) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |