Provider Demographics
NPI:1598948903
Name:A TOTAL IMAGING AND OPEN MRI LLC
Entity Type:Organization
Organization Name:A TOTAL IMAGING AND OPEN MRI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AKHTAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLBAHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-324-1156
Mailing Address - Street 1:16461 SLOAN DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-1157
Mailing Address - Country:US
Mailing Address - Phone:818-324-1156
Mailing Address - Fax:
Practice Address - Street 1:18560 VIA PRINCESSA
Practice Address - Street 2:STE 120
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91387-8330
Practice Address - Country:US
Practice Address - Phone:818-324-1156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherTAX ID