Provider Demographics
NPI:1518307644
Name:NORAD IMAGING
Entity Type:Organization
Organization Name:NORAD IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ZHIRAYR
Authorized Official - Middle Name:JERRY
Authorized Official - Last Name:KHOSHORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:213-445-9109
Mailing Address - Street 1:1155 N VERMONT AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1728
Mailing Address - Country:US
Mailing Address - Phone:323-912-9127
Mailing Address - Fax:323-912-9128
Practice Address - Street 1:1155 N VERMONT AVE STE 203
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1728
Practice Address - Country:US
Practice Address - Phone:323-912-9127
Practice Address - Fax:323-912-9128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)