| NPI | 1649207812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK W PADELFORD Director 858-565-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CA 04414006) |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: CA 04414006) |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: CA 05138506) | |
| 261QR0200X Clinic/Center, Radiology (Licence: CA 05158506) | |
| 261QR0206X Clinic/Center, Radiology, Mammography (Licence: CA 04414006) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2015-12-18 |