Healthcare Provider Details

I. General information

NPI: 1063123719
Provider Name (Legal Business Name): PULSE CARDIAC IMAGING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2022
Last Update Date: 12/13/2022
Certification Date: 12/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 N CENTRAL AVE STE 200
GLENDALE CA
91203-2092
US

IV. Provider business mailing address

PO BOX 5704
BEVERLY HILLS CA
90209-5704
US

V. Phone/Fax

Practice location:
  • Phone: 877-727-2331
  • Fax: 818-696-1602
Mailing address:
  • Phone: 877-727-2331
  • Fax: 818-696-1602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: NIKI MOSSADAD-REZZADEH
Title or Position: OWNER
Credential:
Phone: 877-727-2331