Organization
HUNTINGTON MEDICAL DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ALI DORAFSHAR (CONSULTANT)
(818) 999-0099
Entity
Organization
Contact information
Practice address
569 S AZUSA WAY, LA PUENTE, CA 91744-5113
(954) 483-6614
(954) 483-6614
Mailing address
PO BOX 1147, CYPRESS, CA 90630-8147
(954) 483-6614
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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