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Organization

AMERICA MEDICAL IMAGING CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEXANDER ASTAFIEV (PRESIDENT)
(818) 861-7902
Entity
Organization

Contact information

Practice address
500 E OLIVE AVE STE 103, BURBANK, CA 91501-2171
(818) 861-7902
(818) 861-7385
Mailing address
500 E OLIVE AVE STE 103, BURBANK, CA 91501-2171
(818) 861-7902
(818) 861-7385

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1603015574
DRIVER LICENSE
CA
Enumeration date
12/15/2009
Last updated
03/01/2021
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