| NPI | 1467775809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE P TEITELBAUM Owner 818-847-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G45097) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: CA G45097) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA G45097) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2011-12-09 |