| NPI | 1306658489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TAON Owner 323-896-7962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-31 |