R. Brent Mobile X-Ray
NPI #1295889343 in Hawthorne, California
Provider Information
- NPI Number
- 1295889343
- Entity Type
- Organization
- Organization Name
- R. Brent Mobile X-Ray
- Primary Specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 13429 HAWTHORNE BLVD
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-5803
- Phone
- (310) 978-8006
Authorized Official
- Name
- RUSTY BESA BALDERIAN
- Title
- PRESIDENT
- Phone
- (310) 978-8006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
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