Healthcare Provider Details
I. General information
NPI: 1063687648
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: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15825 LAGUNA CANYON RD # 101
IRVINE CA
92618-2125
US
IV. Provider business mailing address
1762 WESTWOOD BLVD # 230
LOS ANGELES CA
90024-5632
US
V. Phone/Fax
- Phone: 949-777-9000
- Fax:
- Phone: 310-474-2288
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
H
ZARIAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 310-474-2288