NPI | 1609398676 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY A. JACKSON Medical Director / CEO 714-992-3978 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2017-07-12 |
Last Update Date | 2018-03-17 |