Provider Demographics
NPI:1184951931
Name:ADVANCED REFLECTION INC
Entity type:Organization
Organization Name:ADVANCED REFLECTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTASHES
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-972-9997
Mailing Address - Street 1:539 N GLENOAKS BLVD
Mailing Address - Street 2:#207-E
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-3201
Mailing Address - Country:US
Mailing Address - Phone:818-972-9997
Mailing Address - Fax:818-972-9998
Practice Address - Street 1:539 N GLENOAKS BLVD
Practice Address - Street 2:#207-E
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-3201
Practice Address - Country:US
Practice Address - Phone:818-972-9997
Practice Address - Fax:818-972-9998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile