Provider Demographics
NPI:1104042704
Name:WESTWOOD OPEN MRI, LLC
Entity Type:Organization
Organization Name:WESTWOOD OPEN MRI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:MUEHLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-803-5565
Mailing Address - Street 1:10921 WILSHIRE BLVD
Mailing Address - Street 2:MEZZANINE LEVEL
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-3906
Mailing Address - Country:US
Mailing Address - Phone:310-208-3100
Mailing Address - Fax:310-208-3101
Practice Address - Street 1:10921 WILSHIRE BLVD
Practice Address - Street 2:MEZZANINE LEVEL
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-3906
Practice Address - Country:US
Practice Address - Phone:310-208-3100
Practice Address - Fax:310-208-3101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty