| NPI | 1124521331 |
|---|---|
| Former Legal Business Name | ADVANCED MFM IMAGING CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | KRYSTYNE DANYELL President 818-939-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A69154) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA A32023) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A32023) | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |