| NPI | 1528510724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZENICEL J. GONZALES Credentialing Coordinator 714-509-4511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology |
| Additional Taxonomies | 208000000X Pediatrics |
| 2085B0100X Radiology, Body Imaging | |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| 2085N0700X Radiology, Neuroradiology | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2018-04-06 |