Multi Diagnostic Imaging And Breast Center Medical Group Inc.

LBN: Multi Diagnostic Imaging And Breast Center Medical Group Inc.
Multi Diagnostic Imaging And Breast Center Medical Group Inc. is an health care organization with primary practice located at 4910 Van Nuys Blvd 110, Sherman Oaks CA 91403-1782. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Multi Diagnostic Imaging And Breast Center Medical Group Inc. can be contacted via phone (818) 986-8215, or through Sadrieh, Khosrow via phone (818) 986-8215.

Contact Information

Primary practice address
4910 Van Nuys Blvd 110 Sherman Oaks CA 91403-1782
Fax: (818) 986-9582
Website:
Authorized official contact:
Name: Sadrieh, Khosrow Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A29572 California

Profile Details

NPI number 1164503371
LBN Legal business name Multi Diagnostic Imaging And Breast Center Medical Group Inc.
DBA Doing business as
Authorized official Sadrieh, Khosrow Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164503371 NPPES
California Other ZZZ48958Z BLUE SHIELD PROVIDER NUMB
California Other ZZZ97621Z BLUE SHIELD PROVIDER NUMB
California MEDICAID 00A295720 BLUE SHIELD PROVIDER NUMB

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