| NPI | 1306835038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEYED SHAHROKNI Owner/ Medical Director 949-462-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: CA A67310) |
| Additional Taxonomies | 261QR0206X Clinic/Center Radiology, Mammography (Licence: CA A67310) |
| 261QR0200X Clinic/Center Radiology | |
| 261QR0206X Clinic/Center Radiology, Mammography | |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2012-08-14 |