Provider Demographics
NPI:1558812990
Name:UNITED MEDICAL RADIOLOGY NETWORK, INC.
Entity Type:Organization
Organization Name:UNITED MEDICAL RADIOLOGY NETWORK, INC.
Other - Org Name:UNITED MEDICAL RADIOLOGY NETWORK OF SOUTH LONG BEACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-474-2288
Mailing Address - Street 1:PO BOX 491149
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-9149
Mailing Address - Country:US
Mailing Address - Phone:310-474-2288
Mailing Address - Fax:
Practice Address - Street 1:1040 ELM AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3264
Practice Address - Country:US
Practice Address - Phone:562-285-1000
Practice Address - Fax:562-285-1019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography