| NPI | 1730832031 |
|---|---|
| Other Name | LEGACY MEDICAL SPECIALIST LLC |
| Entity Type | Organization |
| Authorized Contact | MARIE D CAGLEY CEO 714-421-9431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-11-12 |