| NPI | 1184720476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE WILSON Owner 323-664-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A23286) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |