| NPI | 1518099142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IREY DOLORES HILSMAN Administrator 323-750-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CA FNP-3233) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-10-16 |