| NPI | 1518406743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA FUENTES Credentialing Coordinator 213-455-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-10-30 |