| NPI | 1346763497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD R GROSSMAN Owner 310-739-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |