| NPI | 1376719914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASTARAN FATEMI Medical Director 310-966-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA a111261) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: OH 39) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2012-07-16 |