| NPI | 1609348036 |
|---|---|
| Doing Business As | MEDICAL IMAGING AND INTERVENTION |
| Former Legal Business Name | GOOD SHEPHERD HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL EMEEL MOUSA Founder/Owner 714-801-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0203X Radiology, Therapeutic Radiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2021-03-15 |