| NPI | 1730729674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN CANALES Member 949-466-9939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology Diagnostic Ultrasound |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| 261QR0200X Clinic/Center Radiology | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |