Healthcare Provider Details

I. General information

NPI: 1982879565
Provider Name (Legal Business Name): UNITED MEDICAL RADIOLOGY NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16161 GOTHARD ST # C
HUNTINGTON BEACH CA
92647-3603
US

IV. Provider business mailing address

PO BOX 491149
LOS ANGELES CA
90049-9149
US

V. Phone/Fax

Practice location:
  • Phone: 714-843-6255
  • Fax:
Mailing address:
  • Phone: 310-474-2288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID H ZARIAN
Title or Position: PRESIDENT/MEDICAL DIRECTOR
Credential: M.D.
Phone: 310-474-2288