| NPI | 1801965058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK W. PADELFORD Board Of Directors 858-565-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: CA 044140-06) |
| Additional Taxonomies | 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) (Licence: CA 044140-06) |
| 261QP3300X Clinic/Center Pain (Licence: CA 044140-06) | |
| 261QR0206X Clinic/Center Radiology, Mammography (Licence: CA 044140-06) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-10-27 |