| NPI | 1902012040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX KALIAKIN Owner 310-456-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| 111N00000X Chiropractor (Licence: CA DC14105) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA G35245) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-08-24 |