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Organization
FUNCTIONAL RESTORATION MEDICAL CENTER, INC,
Active
Organization
FUNCTIONAL RESTORATION MEDICAL CENTER, INC,
Active
Other names
BROOKSHIRE 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
11411 BROOKSHIRE AVE, SUITE 101, DOWNEY, CA 90241-5003
(562) 869-9192
(562) 923-1609
Mailing address
9134 W OLYMPIC BLVD, BEVERLY HILLS, CA 90212-3540
(310) 432-1000
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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