| NPI | 1700839313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD V. PETRUS Medical Director 626-397-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-10-25 |