| NPI | 1184009722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAJVARDI CEO 619-460-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2085B0100X Radiology, Body Imaging | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |