| NPI | 1700622586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WILFONG CEO 831-322-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-09-11 |