| NPI | 1639163991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ALAN WILLENS Owner 714-431-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085U0001X Radiology Diagnostic Ultrasound |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2007-11-05 |