Provider Demographics
NPI:1700258423
Name:DISCOVERY RADIOLOGY PHYSICIANS, P.C.
Entity Type:Organization
Organization Name:DISCOVERY RADIOLOGY PHYSICIANS, P.C.
Other - Org Name:DISCOVERY RADIOLOGY PHYSICIANS, P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMJAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:657-254-3242
Mailing Address - Street 1:6 CENTERPOINTE DR
Mailing Address - Street 2:700
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-2503
Mailing Address - Country:US
Mailing Address - Phone:657-254-3242
Mailing Address - Fax:657-500-4225
Practice Address - Street 1:7111 WINNETKA AVE
Practice Address - Street 2:#16
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-3672
Practice Address - Country:US
Practice Address - Phone:818-337-3550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-21
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty