| NPI | 1568751204 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | JIMMY K CHANBONPIN Medical Director 818-895-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2015-05-11 |