Healthcare Provider Details
I. General information
NPI: 1396408985
Provider Name (Legal Business Name): UNITED MEDICAL IMAGING HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2021
Last Update Date: 04/10/2024
Certification Date: 12/01/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5427 WHITTIER BLVD STE# RADIOLOGY
LOS ANGELES CA
90022
US
IV. Provider business mailing address
PO BOX 491149
LOS ANGELES CA
90049-9149
US
V. Phone/Fax
- Phone: 323-869-5444
- Fax: 310-431-4321
- Phone: 310-943-8400
- Fax: 310-923-9912
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0206X |
| Taxonomy | Mammography Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
H
ZARIAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 310-943-8400