| NPI | 1801148358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA ALEKSANYAN Office Manager 818-497-3476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography |
| 247200000X Technician, Other | |
| 291U00000X Clinical Medical Laboratory | |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2014-10-03 |