| NPI | 1740056431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PONEC President 760-940-4055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-21 |