Healthcare Provider Details

I. General information

NPI: 1972418879
Provider Name (Legal Business Name): PRIMAVUE DIAGNOSTIC IMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N LA CIENEGA BLVD STE 205
BEVERLY HILLS CA
90211-2246
US

IV. Provider business mailing address

50 N LA CIENEGA BLVD STE 205
BEVERLY HILLS CA
90211-2246
US

V. Phone/Fax

Practice location:
  • Phone: 424-245-4593
  • Fax: 310-424-5274
Mailing address:
  • Phone: 424-245-4593
  • Fax: 310-424-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ELMIRA ZARABI
Title or Position: PRESIDENT
Credential:
Phone: 424-245-4593