| NPI | 1861614570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA FERNANDEZ Administrator 323-581-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CA G23748) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |