Healthcare Provider Details

I. General information

NPI: 1134759111
Provider Name (Legal Business Name): UNITED MEDICAL RADIOLOGY NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2020
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 S CENTRAL AVE
GLENDALE CA
91204-2009
US

IV. Provider business mailing address

PO BOX 491149
LOS ANGELES CA
90049-9149
US

V. Phone/Fax

Practice location:
  • Phone: 818-241-3369
  • Fax: 818-485-2213
Mailing address:
  • Phone: 310-943-8400
  • Fax:

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: DR. DAVID H ZARIAN
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 310-474-2288