Organization
FUNCTIONAL RESTORATION MEDICAL CENTER, INC,
Active
Other names
TORRANCE OPEN MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOOSA HEIKALI M.D. (MEDICAL DIRECTOR)
(310) 432-1000
Entity
Organization
Contact information
Practice address
3640 LOMITA BLVD, SUITE 105, TORRANCE, CA 90505-3927
(310) 375-8088
(310) 315-8659
Mailing address
9134 W OLYMPIC BLVD, BEVERLY HILLS, CA 90212-3540
(310) 432-1000
(310) 432-4321
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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