| NPI | 1275994303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED LIM President 818-949-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CA A75403) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A75403) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2020-10-20 |