Organization
IRAJ KHALKHALI, M.D., INC.
Active
Other names
Willow Center Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRAJ KHALKHALI M.D. (MEDICAL DIRECTOR RADIOLOGIST)
(562) 424-9906
Entity
Organization
Contact information
Practice address
500 W WILLOW ST STE 8, LONG BEACH, CA 90806-2831
(562) 424-9906
(562) 427-9831
Mailing address
500 W WILLOW ST STE 8, LONG BEACH, CA 90806-2831
(562) 424-9906
(562) 427-9831
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
44916
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A320230
—
CA
Enumeration date
05/25/2007
Last updated
08/22/2020
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