Garden Grove Imaging

LBN: Functional Restoration Medical Center, Inc,
Garden Grove Imaging is an health care organization with primary practice located at 12828 Harbor Blvd Suite 200, Garden Grove CA 92840-5831. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Functional Restoration Medical Center, Inc, can be contacted via phone (714) 620-8200, or through Heikali, Moosa via phone (310) 432-1000.

Contact Information

Primary practice address
12828 Harbor Blvd Suite 200 Garden Grove CA 92840-5831
Phone: (714) 620-8200
Fax: (714) 620-8211
Website:
Map and Directions
Authorized official contact:
Name: Heikali, Moosa Doctor of Medicine (MD)
Phone: (310) 432-1000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1205937752
LBN Legal business name Functional Restoration Medical Center, Inc,
DBA Doing business as Garden Grove Imaging
Authorized official Heikali, Moosa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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