| NPI | 1700980828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDMUND WYCOFF Administrative Director 626-577-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2008-08-28 |