FUNCTIONAL RESTORATION MEDICAL CENTER INC NPI 1629179072

NPI Information

FUNCTIONAL RESTORATION MEDICAL CENTER, INC, is a radiology clinic center in Los Angeles, CA. FUNCTIONAL RESTORATION MEDICAL CENTER, INC, NPI is 1629179072. The provider is registered as an organization entity type.
The provider Is Doing Business As Wilshire Open Mri.

The provider's business location address is:

1127 WILSHIRE BLVD
SUITE 100
LOS ANGELES, CA
ZIP 90017-901
Phone: (213) 202-5785
Fax: (213) 202-5709

The provider's authorized official is Moosa Heikali .
The authorized official title is Medical Director and has the following contact phone number (310) 432-1000.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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