| NPI | 1679689244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SELWYN GRUSD Radiologist 310-289-8678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2011-09-15 |