| NPI | 1497708002 |
|---|---|
| Former Legal Business Name | BROADWAY IMAGING MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | HOSAM M MOUSTAFA President 818-548-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A71010) |
| Additional Taxonomies | 207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI) (Licence: CA A71010) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-08-12 |