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Organization
FUNCTIONAL RESTORATION MEDICAL CENTER, INC,
Active
Organization
FUNCTIONAL RESTORATION MEDICAL CENTER, INC,
Active
Other names
CENTER PARK IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOOSA HEIKALI M.D. (MEDICAL DIRECTOR)
(310) 432-1000
Entity
Organization
Contact information
Practice address
6131 ORANGETHORPE AVE, SUITE 130, BUENA PARK, CA 90620-1315
(714) 522-2077
(714) 522-2474
Mailing address
9134 W OLYMPIC BLVD, BEVERLY HILLS, CA 90212-3540
(310) 432-1000
(310) 432-4321
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
09/06/2023
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