| NPI | 1699272187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA MEDINA Office Manager 909-570-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA 1010952) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |