Provider Demographics
NPI:1629168992
Name:UNITED MEDICAL IMAGING HEALTHCARE, INC.
Entity Type:Organization
Organization Name:UNITED MEDICAL IMAGING HEALTHCARE, INC.
Other - Org Name:UNITED MEDICAL IMAGING OF INGLEWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
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:310-943-8400
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:310-943-8400
Mailing Address - Fax:
Practice Address - Street 1:110 S LA BREA AVE
Practice Address - Street 2:SUITE # 150
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1768
Practice Address - Country:US
Practice Address - Phone:310-671-6000
Practice Address - Fax:310-671-6302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW20916Medicare PIN