Basic Information
| Provider Information | |||||||||
| NPI: | 1083866735 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HI IMAGING MANAGEMENT INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 540 N CENTRAL AVE STE 100 | ||||||||
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| City: | GLENDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 912033355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8182425588 | ||||||||
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| Practice Location | |||||||||
| Address1: | 540 N CENTRAL AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | GLENDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 912033355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8182425588 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2008 | ||||||||
| LastUpdateDate: | 10/16/2008 | ||||||||
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| AuthorizedOfficialLastName: | MASSIH | ||||||||
| AuthorizedOfficialFirstName: | MEHDI | ||||||||
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| AuthorizedOfficialTitleorPosition: | RADIOLOGIST/ OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8182425588 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0200X | A41801 | CA | Y | Ambulatory Health Care Facilities | Clinic/Center | Radiology |
No ID Information.