| NPI | 1578566808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MO SOULATI Billing Manager 310-412-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471N0900X Radiologic Technologist, Nuclear Medicine Technology (Licence: CA 7280-19) |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: CA 7280-19) |
| 291U00000X Clinical Medical Laboratory (Licence: CA CLF336330) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2013-08-14 |