Provider Demographics
NPI:1144756115
Name:F&M RADIOLOGY MEDICAL CENTER INC
Entity Type:Organization
Organization Name:F&M RADIOLOGY MEDICAL CENTER INC
Other - Org Name:UPLAND RADIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-708-6163
Mailing Address - Street 1:20011 VENTURA BLVD
Mailing Address - Street 2:1002
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364
Mailing Address - Country:US
Mailing Address - Phone:818-708-6163
Mailing Address - Fax:818-340-5537
Practice Address - Street 1:559 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4241
Practice Address - Country:US
Practice Address - Phone:909-890-5552
Practice Address - Fax:909-890-5588
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:F&M RADIOLOGY MEDICAL CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-11
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology