| NPI | 1538391255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAINE LEWIS MONTGOMERY President 310-377-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: CA A28710) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |