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Organization
ADVANCED MFM IMAGING CENTER, INC.
Active
Organization
ADVANCED MFM IMAGING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTYNE DANYELL (MSN, FNP, PRESIDENT)
(818) 240-8300
Entity
Organization
Contact information
Practice address
1577 E. CHEVY CHASE DRIVE, SUITE 300, GLENDALE, CA 91206-4092
(818) 240-8300
(818) 240-8303
Mailing address
1577 E. CHEVY CHASE DRIVE, SUITE 300, GLENDALE, CA 91206-4092
(818) 240-8300
(818) 240-8303
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
12/05/2011
Last updated
11/06/2023
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