| NPI | 1518908847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL L HAFER President 949-764-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: CA A70756) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: CA G53677) |
| 2085R0203X Radiology Therapeutic Radiology (Licence: CA G28037) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-11-27 |