| NPI | 1376973040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY LEE Manager 714-417-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |