Organization Name: | LIFESCAPE IMAGING CYPRESS LLC |
NPI Number: | 1801036751 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN D ROTONDO (PRESIDENT) |
Mailing Address: | 24584 Hawthorne Blvd Torrance |
State: | CA US |
Postal Code: | 905056807 |
Phone Number: | 3107837656 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2009 |
NPI Last Update Date: | 06/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G065833 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |