NPI | 1477693513 |
---|---|
Entity Type | Organization |
Authorized Contact | BIJAN FARHANGUI CEO, President 408-297-8844 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 6846-43) |
Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-04-24 |