Provider Demographics
NPI:1093005076
Name:BURBANK OPEN MRI CORP
Entity Type:Organization
Organization Name:BURBANK OPEN MRI CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARKETING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAGUHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOGOMONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-291-0547
Mailing Address - Street 1:PO BOX 250610
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91225-0610
Mailing Address - Country:US
Mailing Address - Phone:818-291-0547
Mailing Address - Fax:
Practice Address - Street 1:333 E MAGNOLIA BLVD
Practice Address - Street 2:STE 104
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1132
Practice Address - Country:US
Practice Address - Phone:818-563-1674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)