| NPI | 1316170012 |
|---|---|
| Doing Business As | PROVIDENCE LITTLE COMPANY OF MARY DEL AMO DIAGNOSTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ZUANICH CFO 310-303-7496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |