| NPI | 1275288672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE HALE Director Of Accounting 310-301-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |