| NPI | 1508368069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD KUMAR Director 661-377-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| 213E00000X Podiatrist | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-29 |