| NPI | 1720042062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALAL BEYDOUN Medical Director 949-367-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-07-08 |