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Organization
MED IMAGING CARE, INC
Active
Organization
MED IMAGING CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD REZVANI MD (CEO)
(734) 788-9646
Entity
Organization
Contact information
Practice address
3392 MOTOR AVE, LOS ANGELES, CA 90034-3712
(734) 788-9646
(310) 424-3404
Mailing address
11693 SAN VICENTE BLVD, STE 389, LOS ANGELES, CA 90049-5105
(734) 788-9646
(310) 424-3404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A113116
CA
207U00000X
Nuclear Medicine Physician
A113116
CA
Other
Enumeration date
02/20/2012
Last updated
03/01/2012
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