| NPI | 1831214030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROLD MINK Medical Director 310-208-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: CA G73373) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G22691) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G84712) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |