| NPI | 1902327281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYMOND GAMZELETOVA Vice President 818-402-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CA 4012390) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |