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General NPI Number Information
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NPI Number | 1750614343
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Entity Type | Organization
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Legal Business Name | F&M RADIOLOGY MEDICAL CENTER INC
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 11022 SANTA MONICA BLVD STE 310
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City | LOS ANGELES
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State | CA
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Zip | 90025-7558
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Country | US
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Telephone | 310-481-0858
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Fax | 310-474-3416
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Provider Business Mailing Address
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Address Line | PO BOX 49911
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City | LOS ANGELES
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State | CA
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Zip | 90049-0911
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Country | US
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Telephone | 818-708-6163
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Fax | 818-344-1390
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RAY SALARI
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Credential | M.D
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Telephone | 818-708-6163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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