| NPI | 1952138117 |
|---|---|
| Other Name | MIN - O'DONNELL PLACE |
| Entity Type | Organization |
| Authorized Contact | JOHN VERNON CRUES President 310-445-2843 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207U00000X Nuclear Medicine |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-12-04 |