| NPI | 1215316740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PRAVIN Owner 323-350-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist, Sonography |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |