Organization
FAIRFAX MRI CENTER
Active
Organization
FAIRFAX MRI CENTER
Active
Other names
Universal MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE RAJAEE (VICE PRESIDENT)
(323) 648-0500
Entity
Organization
Contact information
Practice address
5757 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90036-3686
(323) 648-0500
(323) 648-0508
Mailing address
5757 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90036-3686
(323) 648-0500
(323) 648-0508
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
177510-86
CA
Other
Enumeration date
06/26/2006
Last updated
08/22/2020
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