| 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 |