Organization · Type 2 NPI

Functional Restoration Medical Center, Inc,

Radiology Clinic/Center · Los Angeles, CA

NPI number 1629179072 Active

Practice location

1127 Wilshire Blvd, Suite 100
Los Angeles, CA 90017-3901

Fax (213) 202-5709

Mailing address

9134 W Olympic Blvd
Beverly Hills, CA 90212-3540

Specialties and licenses

TaxonomyCodeLicense
Radiology Clinic/Center Primary 261QR0200XNone listed

Radiology Clinic/Center: Definition to come...

88 other providers at this address

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About NPI 1629179072

Functional Restoration Medical Center, Inc,'s National Provider Identifier is 1629179072, issued on Sep 26, 2006. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 22, 2020.