Provider Demographics
NPI:1164769584
Name:KARIN L. FU, M.D., INC.
Entity Type:Organization
Organization Name:KARIN L. FU, M.D., INC.
Other - Org Name:A1 MEDICAL IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KESHISHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:ARDMS
Authorized Official - Phone:818-590-8557
Mailing Address - Street 1:1016 E BROADWAY STE 103
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4534
Mailing Address - Country:US
Mailing Address - Phone:818-240-8310
Mailing Address - Fax:818-240-8303
Practice Address - Street 1:1016 E BROADWAY STE 103
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4534
Practice Address - Country:US
Practice Address - Phone:818-240-8310
Practice Address - Fax:818-240-8303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-04
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile