| NPI | 1205289493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHROUZ TAHVILIAN Owner 818-634-0936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-09-06 |