| NPI | 1992801211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN W ROSEN Managing Partner 626-814-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: CA C24928) |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: CA C24928) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA C24928) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |