# ENCINO OPEN MRI INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104073659
- **Authorized official:** AKHTAR GOLBAHAR (PRESIDENT)
- **Authorized official phone:** (818) 986-4786

## Contact information

- **Practice address:** 17323 VENTURA BLVD STE 101, ENCINO, CA 91316-3964
- **Practice address phone:** (818) 986-4786
- **Mailing address:** 17323 VENTURA BLVD STE 101, ENCINO, CA 91316-3964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 08/26/2008
- **Last updated:** 01/05/2009