| NPI | 1740429422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L. BLACK Medical Director 714-835-6055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-06-08 |