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Organization
ADVANCED MFM IMAGING CENTER, INC.
Active
Organization
ADVANCED MFM IMAGING CENTER, INC.
Active
Other names
Advanced MFM Imaging Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTYNE DANYELL RN (PRESIDENT)
(818) 939-4040
Entity
Organization
Contact information
Practice address
1577 E CHEVY CHASE DR STE 300, GLENDALE, CA 91206-4092
(818) 240-8300
Mailing address
1577 E CHEVY CHASE DR STE 300, GLENDALE, CA 91206-4092
(818) 240-8300
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
A69154
CA
2085R0202X
Diagnostic Radiology Physician
A32023
CA
2085U0001X
Diagnostic Ultrasound Physician
A32023
CA
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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