Organization
ADVANCED MFM IMAGING CENTER, INC.
Active
Other names
Advanced MFM Imaging Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTYNE DANYELL RN (PRESIDENT)
(818) 939-4040
Entity
Organization
Contact information
Practice address
1577 E CHEVY CHASE DR STE 300, GLENDALE, CA 91206-4092
(818) 240-8300
Mailing address
1577 E CHEVY CHASE DR STE 300, GLENDALE, CA 91206-4092
(818) 240-8300
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
A69154
CA
2085R0202X
Diagnostic Radiology Physician
A32023
CA
2085U0001X
Diagnostic Ultrasound Physician
A32023
CA
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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