Healthcare Provider Details
I. General information
NPI: 1609966977
Provider Name (Legal Business Name): UNITED MEDICAL IMAGING HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/14/2006
Last Update Date: 01/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4316 SLAUSON AVE
MAYWOOD CA
90270-2838
US
IV. Provider business mailing address
PO BOX 491149
LOS ANGELES CA
90049-9149
US
V. Phone/Fax
- Phone: 323-771-9867
- Fax: 323-771-6094
- Phone: 310-943-8400
- 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: 310-943-8400