| NPI | 1255819892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY A. JACKSON CEO 559-455-4109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2021-02-12 |