Organization
F&M RADIOLOGY MEDICAL CENTER INC
Active
Parent organization
F&M RADIOLOGY MEDICAL CENTER INC
Other names
UNITED SLEEP LAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
F&M RADIOLOGY MEDICAL CENTER INC
Authorized official
DR. MOOSSA HEIKALI M.D (OWNER/MEDICAL DIRECTOR/CEO)
(818) 708-6163
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD, 226, ENCINO, CA 91436-1914
(818) 849-5903
(818) 776-1069
Mailing address
18065 VENTURA BLVD, ENCINO, ENCINO, CA 91316-3517
(818) 708-6163
(818) 344-1390
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
A40559
CA
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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