| NPI | 1215394036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOK CHYE TAN President 626-861-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA A120081) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A120081) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA A120081) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2023-06-16 |