| NPI | 1790208155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY JACKSON Medical Director / CEO 714-992-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |