Organization
OMNI MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM FRANCOIS RAVAN M.D. (PRESIDENT)
(310) 274-1370
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR, SUITE 214, BEVERLY HILLS, CA 90210-4310
(310) 274-1370
(310) 271-3793
Mailing address
436 N BEDFORD DR, SUITE 214, BEVERLY HILLS, CA 90210-4310
(310) 274-1370
(310) 271-3793
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A401680
—
CA
01
—
A20965
MEDICARE UPIN NUMBER
CA
Enumeration date
04/16/2007
Last updated
09/07/2007
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