Wilshire Open Mri

NPI 1083889851 - Clinic/Center - 261QR0206X

NPI Details
NPI 1083889851
Enumeration Date 04/23/2008
Last Updated 05/08/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MOOSA MOOSA
Position OWNER/MEDICAL DIRECTOR
Phone (213) 202-5785
Fax (213) 225-1197
Practice Location
1127 WILSHIRE BLVD
SUITE#1OO
LOS ANGELES CA, 90017-3901, US
Phone (213) 202-5785
Fax (213) 225-1197
Business Location
18065 VENTURA BLVD
ENCINO CA, 91316-3517, US
Phone (818) 708-6163
Fax (818) 708-6167
Toxanomy
Taxonomy Code 261QR0206X
License State California
License Number A40559
Remove 1083889851 NPI Number
 

According to our database, Wilshire Open Mri NPI is 1083889851, taxonomy code is 261QR0206X and license number is A40559, license state is located at California. Wilshire Open Mri physically located at 1127 Wilshire Blvd, Los Angeles CA, 90017-3901. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1083889851 NPI number is provided on an as is basis without warranty of any kind. 1083889851 is maintained by the National Plan & Provider Enumeration System. The contents of Wilshire Open Mri are for informational purposes only.