FUNCTIONAL RESTORATION MEDICAL CENTER, INC, (NPI# 1205927399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205927399 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL RESTORATION MEDICAL CENTER, INC, |
| Other Organization Name | ALPHA-OMEGA RADIOLOGY |
| Practice Address |
3513 Whittier Blvd Los Angeles CA 90023-1709 |
| Mailing Address |
9134 W Olympic Blvd Beverly Hills CA 90212-3540 |
| Practice Telephone | 3232621814 |
| Practice Fax Number | 3232621699 |
| Mailing Telephone | 3104321000 |
| Mailing Fax Number | 3104324321 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MOOSA HEIKALI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3104321000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ALPHA-OMEGA RADIOLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801987995 | Functional Restoration Medical Center, Inc | Clinic/Center | 375 W Central Ave, Brea, CA 92821-3025 | 2006-09-27 |
| 1649371006 | Functional Restoration Medical Center, Inc | Clinic/Center | 110 S La Brea Ave, Suite 150, Inglewood, CA 90301-1768 | 2006-09-26 |
| 1861593345 | Functional Restoration Medical Center, Inc | Clinic/Center | 9134 W Olympic Blvd, Beverly Hills, CA 90212-3540 | 2006-09-26 |
| 1629179155 | Functional Restoration Medical Center, Inc | Clinic/Center | 1141 W Redondo Beach Blvd, Suite 105, Gardena, CA 90247-3586 | 2006-09-26 |
| 1063513455 | Functional Restoration Medical Center, Inc | Clinic/Center | 4316 Slauson Ave, Maywood, CA 90270-2838 | 2006-09-26 |
| 1396846762 | Functional Restoration Medical Center, Inc | Clinic/Center | 15825 Laguna Canyon Rd, Suite 101, Irvine, CA 92618-2125 | 2006-09-26 |
| 1689775025 | Functional Restoration Medical Center, Inc | Clinic/Center | 3640 Lomita Blvd, Suite 105, Torrance, CA 90505-3927 | 2006-09-26 |
| 1629179072 | Functional Restoration Medical Center, Inc | Clinic/Center | 1127 Wilshire Blvd, Suite 100, Los Angeles, CA 90017-3901 | 2006-09-26 |
| 1861593360 | Functional Restoration Medical Center, Inc | Clinic/Center | 11411 Brookshire Ave, Suite 101, Downey, CA 90241-5003 | 2006-09-26 |
| 1285735795 | Functional Restoration Medical Center, Inc | Clinic/Center | 6131 Orangethorpe Ave, Suite 130, Buena Park, CA 90620-1315 | 2006-09-26 |
| Street Address |
3513 WHITTIER BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90023-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104091776 | United Medical Radiology Network, Inc | Clinic/Center | 3513 Whittier Blvd, Los Angeles, CA 90023-1709 | 2008-04-24 |
| 1770626905 | Manoochehr Koukhab | Radiology | 3513 Whittier Blvd, Los Angeles, CA 90023-1709 | 2007-02-15 |
| 1841380110 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3513 Whittier Blvd, Los Angeles, CA 90023-1709 | 2006-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1275059511 | Jeff Moreno | Psychoanalyst | 550 Vermount Ave, Los Angeles, CA 90023 | 2017-08-18 |
| 1457714297 | Isabel Garcia | Counselor | 4543 Sabina Street, Los Angeles, CA 90023 | 2016-03-30 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1073951992 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2515 Whittier Blvd., Los Angeles, CA 90023 | 2013-06-13 |
| 1003115312 | H.r.imankhan,dds,inc | Dentist | 3356 E. Olympic Blvd, Los Angeles, CA 90023 | 2011-03-25 |
| 1508006297 | Ricca Tinnin | Physician Assistant | 1200 N State St., Dept E.r., La, CA 90023 | 2009-02-20 |
| 1538366851 | Sun Heung Lui | Counselor | 3421 E. Olympic Blvd., Los Angeles, CA 90023 | 2007-06-29 |
| 1851519623 | Atlantic Recovery Services | Community/Behavioral Health | 3225 Flunter St, Estrada Courts Sea, Los Angeles, CA 90023 | 2007-04-24 |
| 1548486947 | Manasseh C Nwaigwe | General Practice | 1159 S. Lorena St, Los Angeles, CA 90023 | 2007-04-17 |
| Find all providers in zip 90023 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164049508 | Ohni Imaging Inc | Clinic/Center | 8631 W 3rd St # 945e, Los Angeles, CA 90048-5901 | 2020-07-01 |
| 1861920761 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 6310 San Vicente Blvd Ste 102, Los Angeles, CA 90048-5426 | 2017-05-23 |
| 1477816700 | George C Lee Jr. | Clinic/Center | 1200 North State, Ct-2b 300 Lac-usc, Los Angeles, CA 90033-9985 | 2012-06-21 |
| 1851682595 | Broadway Radiology, Inc. | Clinic/Center | 231 W Vernon Ave Ste 111, Los Angeles, CA 90037-2778 | 2011-04-28 |
| 1225238769 | Ez Diagnosis Center LLC | Clinic/Center | 520 S Virgil Ave Ste 104, Los Angeles, CA 90020-1417 | 2007-07-23 |
| 1184750630 | Ardmore Imaging Inc | Clinic/Center | 3663 W 6th St Ste 105, Los Angeles, CA 90020-3047 | 2007-02-26 |
| 1295841377 | Shin Mri LLC | Clinic/Center | 266 S Harvard Blvd Ste 220, Los Angeles, CA 90004-4339 | 2006-08-22 |
| 1578590584 | East Sunset Imaging Inc | Clinic/Center | 4327 W Sunset Blvd, Los Angeles, CA 90029-2111 | 2006-06-26 |
| 1700486081 | Pacific Mri A Nursing Corporation | Clinic/Center | 3760 Santa Rosalia Dr, Los Angeles, CA 90008-3611 | 2020-10-27 |
| 1811342439 | California Medical Imaging Corp. | Clinic/Center | 5757 Wilshire Blvd Ste 100, Los Angeles, CA 90036-3686 | 2016-05-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90023 |
Please comment or provide details below to improve the information on FUNCTIONAL RESTORATION MEDICAL CENTER, INC,.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.