| NPI | 1558550129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEVGENY KANZBURG President 818-985-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 2471S1302X Radiologic Technologist, Sonography |
| 2471S1302X Radiologic Technologist, Sonography | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 293D00000X Physiological Laboratory | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2022-10-26 |