Basic Information
Provider Information
NPI: 1801287560
EntityType: 2
ReplacementNPI:  
OrganizationName: UNITED MEDICAL IMAGING HEALTHCARE, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: UNITED MEDICAL IMAGING OF CENTRAL LONG BEACH
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 491149
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900499149
CountryCode: US
TelephoneNumber: 3109438400
FaxNumber:  
Practice Location
Address1: 701 E 28TH ST
Address2: SUITE 318
City: LONG BEACH
State: CA
PostalCode: 908062759
CountryCode: US
TelephoneNumber: 5624267000
FaxNumber: 5624267099
Other Information
ProviderEnumerationDate: 02/16/2015
LastUpdateDate: 04/15/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: ZARIAN
AuthorizedOfficialFirstName: DAVID
AuthorizedOfficialMiddleName: H
AuthorizedOfficialTitleorPosition: PRESIDENT/OWNER
AuthorizedOfficialTelephone: 3109438400
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QR0200X  Y Ambulatory Health Care FacilitiesClinic/CenterRadiology

No ID Information.


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