| NPI | 1417315300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES STOUT President And CEO 909-554-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2021-07-06 |