| NPI | 1427523950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LEE DENNIS Credentialing Specialist 805-375-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2021-03-24 |