| NPI | 1205138328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS N DZEBOLO CEO 818-241-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |