Organization
LA PALMA OPEN MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOOSSA HEIKALI M.D (OWNER/MEDICAL DIRECTOR)
(818) 708-6163
Entity
Organization
Contact information
Practice address
18065 VENTURA BLVD, ENCINO, CA 91316-3517
(818) 708-6163
(818) 708-6167
Mailing address
18065 VENTURA BLVD, ENCINO, CA 91316-3517
(818) 708-6163
(818) 708-6167
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
A40559
CA
2085N0700X
Neuroradiology Physician
A40559
CA
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208D00000X
General Practice Physician
A40559
CA
261QM1300X
Multi-Specialty Clinic/Center
Primary
A40559
CA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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