Provider Demographics
NPI:1750670428
Name:UNITED MEDICAL IMAGING HEALTHCARE INC.
Entity Type:Organization
Organization Name:UNITED MEDICAL IMAGING HEALTHCARE INC.
Other - Org Name:UNITED MEDICAL IMAGING OF FOUNTAIN VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
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:310-943-8400
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 1:11160 WARNER AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4008
Practice Address - Country:US
Practice Address - Phone:714-619-7500
Practice Address - Fax:714-619-7599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW20916Medicare PIN