| NPI | 1831462092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNG VAN NGUYEN Owner/Doctor 818-708-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A42303) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: CA A42303) |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: CA A42303) | |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |