| NPI | 1679134118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAU CHUNG Medical Director 949-274-8807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |