NPI | 1801307822 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIVIC GUZMAN President/CEO 619-972-0844 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
Enumeration Date | 2017-10-17 |
Last Update Date | 2019-09-27 |