| NPI | 1306199534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HUPPERT Collections Manager 310-289-8678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |