Prohealth Advanced Imaging Medical Group, Inc.

LBN: Prohealth Advanced Imaging Medical Group, Inc.
Prohealth Advanced Imaging Medical Group, Inc. is an health care organization with primary practice located at 10767 Riverside Dr , North Hollywood CA 91602-2324. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Prohealth Advanced Imaging Medical Group, Inc. can be contacted via phone (818) 301-6700, or through Kashfian, Payam via phone (818) 301-6700.

Contact Information

Primary practice address
10767 Riverside Dr North Hollywood CA 91602-2324
Fax: (818) 301-6701
Website:
Authorized official contact:
Name: Kashfian, Payam Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1003874702
LBN Legal business name Prohealth Advanced Imaging Medical Group, Inc.
DBA Doing business as
Authorized official Kashfian, Payam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Mar 27th, 2012 - about 12 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 1003874702 NPPES
California Other ZZZ66550Z BLUE SHIELD OF CALIFORNIA

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