| NPI | 1912319229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GRUSD President 310-289-8678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CA A32707) |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |