Healthcare Provider Details

I. General information

NPI: 1750534301
Provider Name (Legal Business Name): LA MRI CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4151 W 3RD ST STE B
LOS ANGELES CA
90020-3495
US

IV. Provider business mailing address

4151 W 3RD ST STE B
LOS ANGELES CA
90020-3495
US

V. Phone/Fax

Practice location:
  • Phone: 213-250-8822
  • Fax: 213-250-8844
Mailing address:
  • Phone: 213-250-8822
  • Fax: 213-250-8844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: AKHTAR GOLBAHAR
Title or Position: OWNER
Credential:
Phone: 818-324-1156