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Organization

FUNCTIONAL RESTORATION MEDICAL CENTER, INC,

Active
Other names
ROXBURY PET- CT IMAGING
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
450 N ROXBURY DR, SUITE 100, BEVERLY HILLS, CA 90210-4232
(310) 432-2888
(310) 432-2899
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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