Med Imaging Care, Inc | |
3392 Motor Ave Los Angeles CA 90034-3712 | |
(734) 788-9646 | |
(310) 424-3404 |
Full Name | Med Imaging Care, Inc |
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Speciality | Internal Medicine |
Location | 3392 Motor Ave, Los Angeles, California |
Authorized Official Name and Position | Mohammad Rezvani (CEO) |
Authorized Official Contact | 7347889646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Med Imaging Care, Inc 11693 San Vicente Blvd Ste 389 Los Angeles CA 90049-5105 Ph: (734) 788-9646 | Med Imaging Care, Inc 3392 Motor Ave Los Angeles CA 90034-3712 Ph: (734) 788-9646 |
NPI Number | 1780957860 |
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Provider Enumeration Date | 02/20/2012 |
Last Update Date | 03/01/2012 |
Medicare PECOS PAC ID | 7113180860 |
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Medicare Enrollment ID | O20120517000083 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780957860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A113116 (California) | Primary |
207U00000X | Nuclear Medicine | A113116 (California) | Secondary |
Provider Name | Mohammad Rezvani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487976668 PECOS PAC ID: 6406042720 Enrollment ID: I20101130000063 |
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