| NPI | 1699516161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VERNON CRUES Owner 310-445-2843 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |