Healthcare Provider Details

I. General information

NPI: 1316105372
Provider Name (Legal Business Name): UNIVERSAL MRI & CT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 WILSHIRE BLVD STE 100
LOS ANGELES CA
90036-3686
US

IV. Provider business mailing address

5757 WILSHIRE BLVD STE 100
LOS ANGELES CA
90036-3686
US

V. Phone/Fax

Practice location:
  • Phone: 310-407-5440
  • Fax: 310-407-5441
Mailing address:
  • Phone: 310-407-5440
  • Fax: 310-407-5441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: SAMMY CILING
Title or Position: DIRECTOR
Credential:
Phone: 323-648-0500