| NPI | 1184745820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAIRZETTE LAYNE Billing Manager 310-829-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA W11873) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |