| NPI | 1154763407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LETHIN Executive Director 619-997-4859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CA 239408) |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: CA 81412111187) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2016-07-12 |