| NPI | 1891747200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT J. WAGNER President 949-348-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 207U00000X Nuclear Medicine | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-02-27 |