Organization
LOMA LINDA HIGH FIELD OPEN MRI AND DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHDI SOLEIMANPOUR MD (OWNER)
(909) 478-9192
Entity
Organization
Contact information
Practice address
10459 MOUNTAIN VIEW AVENUE, SUITE E, LOMA LINDA, CA 92354
(909) 478-9192
(909) 478-9193
Mailing address
PO BOX 26570, FRESNO, CA 93729-6570
(559) 455-4000
(559) 455-4004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66826Z
BLUE SHIELD
CA
Enumeration date
04/19/2006
Last updated
04/17/2008
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