| NPI | 1710158498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL SALEN Director 951-786-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2018-12-05 |