| NPI | 1972531036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GEOFFERY STEIN President 714-835-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA FNP 27532) |
| Additional Taxonomies | 2085B0100X Radiology Body Imaging (Licence: CA FNP 27532) |
| 2085N0700X Radiology Neuroradiology (Licence: CA FNP 27532) | |
| 2085N0904X Radiology Nuclear Radiology (Licence: CA FNP 27532) | |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: CA FNP 27532) | |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: CA FNP 27532) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-09-20 |