Healthcare Provider Details
I. General information
NPI: 1184159899
Provider Name (Legal Business Name): UNITED MEDICAL RADIOLOGY NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2017
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1401 W MERCED AVE #102
WEST COVINA CA
91790-3401
US
IV. Provider business mailing address
PO BOX 491149
LOS ANGELES CA
90049-9149
US
V. Phone/Fax
- Phone: 626-813-6100
- Fax: 626-813-0075
- Phone: 310-474-2288
- 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 | |
VIII. Authorized Official
Name: DR.
DAVID
H
ZARIAN
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 310-474-2288