| NPI | 1568427904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY R STEVENS Member Manager 949-631-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: 1DTF) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-08-22 |