| NPI | 1346272838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF M VANDEVER Medical Biller/ Collector 562-988-2074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: CA G170420) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |