| NPI | 1467972315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENSEN DOMINGO MANABAT Owner/ CEO 805-815-9057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA RHF00085813) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-07-21 |