| NPI | 1417723024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J. PONEC President 760-940-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-03-12 |