| NPI | 1992974190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM CHUDNOVSKY Sole Proprietor 714-633-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2009-07-29 |