Organization
PROHEALTH ADVANCED IMAGING INSTITUTE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAM KASHFIAN M.D. (PRESIDENT)
(818) 710-6011
Entity
Organization
Contact information
Practice address
7345 MEDICAL CENTER DR, SUITE 130, WEST HILLS, CA 91307-1910
(818) 710-6011
(818) 456-5039
Mailing address
7345 MEDICAL CENTER DR, SUITE 130, WEST HILLS, CA 91307-1910
(818) 710-6011
(818) 456-5039
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTF00220
—
CA
01
—
ZZZ02029Z
BLUE SHIELD OF CALIF
CA
Enumeration date
04/17/2006
Last updated
01/27/2012
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