| NPI | 1306275854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY EBERHART Owner 949-724-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CA A70967) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC26382) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |