Fairfax Mri Center

NPI 1861429102 - Radiologic Technologist - 2471M1202X

NPI Details
NPI 1861429102
Enumeration Date 06/26/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MIKE MIKE
Position VICE PRESIDENT
Phone (323) 648-0500
Fax (323) 648-0508
Practice Location
5757 WILSHIRE BLVD STE 100
LOS ANGELES CA, 90036-3686, US
Phone (323) 648-0500
Fax (323) 648-0508
Business Location
5757 WILSHIRE BLVD STE 100
LOS ANGELES CA, 90036-3686, US
Phone (323) 648-0500
Fax (323) 648-0508
Toxanomy
Taxonomy Code 2471M1202X
License State California
License Number 177510-86
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According to our database, Fairfax Mri Center NPI is 1861429102, taxonomy code is 2471M1202X and license number is 177510-86, license state is located at California. Fairfax Mri Center physically located at 5757 Wilshire Blvd Ste 100, Los Angeles CA, 90036-3686. NPI Number 1033115704 has the healthcare provider type.

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1861429102 NPI number is provided on an as is basis without warranty of any kind. 1861429102 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfax Mri Center are for informational purposes only.