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Organization
MONTCLAIR MRI INC.
Active
Organization
MONTCLAIR MRI INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY GOLBAHAR (PRESIDENT)
(909) 624-8910
Entity
Organization
Contact information
Practice address
8891 CENTRAL AVE, SUITE C, MONTCLAIR, CA 91763-1618
(909) 624-8910
(909) 912-8033
Mailing address
PO BOX 351358, LOS ANGELES, CA 90035-9758
(909) 624-8910
(909) 912-8033
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
CA
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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