| NPI | 1700907433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAIRZETTE LAYNE Billing Manager 310-829-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA W13479) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |