MEDICARE: UNITED MEDICAL RADIOLOGY NETWORK, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1104091776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED MEDICAL RADIOLOGY NETWORK, INC

Provider Business Mailing Address
First Line	:	1762 WESTWOOD BLVD
Second Line	:	#230
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-5632
Country	:	US
Telephone Number	:	310-474-2288
Fax Number	:

Provider Business Practice Location Address
First Line	:	3513 WHITTIER BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90023-1709
Country	:	US
Telephone Number	:	323-262-1814
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID H ZARIAN
Credential	:	MD
Telephone Number	:	310-943-8400

Provider Enumeration Date	:	04/24/2008
Last Update Date	:	11/11/2019

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