| NPI | 1952648909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZARET BALAMUTYAN Owner 323-839-5523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography (Licence: CA 110793) |
| Additional Taxonomies | 2471V0105X Radiologic Technologist Vascular Sonography (Licence: CA 129019) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-11 |