Organization
UNIVERSAL MRI & CT INC
Active
Other names
My Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PERLA I NUNEZ (SUPERVISOR)
(323) 648-0500
Entity
Organization
Contact information
Practice address
5757 WILSHIRE BLVD SUITE #100, LOS ANGELES, CA 90036
(323) 648-0500
(323) 648-0508
Mailing address
5757 WILSHIRE BLVD SUITE #100, LOS ANGELES, CA 90036
(323) 648-0500
(323) 648-0508
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0002336913-0001-8
CA
2085B0100X
Body Imaging Physician
A73716
CA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
A73716
CA
2085R0202X
Diagnostic Radiology Physician
A73716
CA
2085R0204X
Vascular & Interventional Radiology Physician
A73716
CA
2085U0001X
Diagnostic Ultrasound Physician
A73716
CA
247100000X
Radiologic Technologist
Primary
0002336913-0001-8
CA
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
0002336913-0001-8
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A73716
CA LICENCE
CA
Enumeration date
02/25/2009
Last updated
07/02/2010
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