| NPI | 1659764744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILBERT ERADAT Treasurer 310-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA FNP545028) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2016-03-04 |