NPI | 1225047723 |
---|---|
Doing Business As | CEDAR NORTHWEST DIAGNOSTIC MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JASON BOUTROS President 626-791-0953 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-08-22 |