| NPI | 1790725141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARATH KUMAR KRISHNASAMY Medical Director 626-962-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-05-25 |