FUNCTIONAL RESTORATION MEDICAL CENTER, INC, (NPI# 1063513455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063513455 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL RESTORATION MEDICAL CENTER, INC, |
| Other Organization Name | MAYWOOD OPEN MRI |
| Practice Address |
4316 Slauson Ave Maywood CA 90270-2838 |
| Mailing Address |
9134 W Olympic Blvd Beverly Hills CA 90212-3540 |
| Practice Telephone | 3237719867 |
| Practice Fax Number | 3237712083 |
| Mailing Telephone | 3104321000 |
| Mailing Fax Number | 3104324321 |
| Enumeration Date | 2006-09-26 |
| 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 |
|---|---|
| MAYWOOD OPEN MRI | 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 |
| 1205927399 | Functional Restoration Medical Center, Inc | Clinic/Center | 3513 Whittier Blvd, Los Angeles, CA 90023-1709 | 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 |
| 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 |
4316 SLAUSON AVE |
| City | MAYWOOD |
| State | CA |
| Zip Code | 90270-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679587091 | Dean Ferdows | General Practice | 4316 Slauson Ave, Maywood, CA 90270-2838 | 2006-07-28 |
| 1952533960 | Haroutun Abrahamian | Radiology | 4316 Slauson Ave, Maywood, CA 90270-2838 | 2009-08-10 |
| 1598930174 | United Medical Radiology Network | Clinic/Center | 4316 Slauson Ave, Maywood, CA 90270-2838 | 2008-04-24 |
| 1275704579 | Dean Ferdows Md Inc | General Practice | 4316 Slauson Ave, Maywood, CA 90270-2838 | 2008-03-14 |
| 1609966977 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 4316 Slauson Ave, Maywood, CA 90270-2838 | 2006-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972374 | Jose R. Torres Dds Inc | Health Maintenance Organization | 3619 E.slauson Ave, Suite A, Maywood, CA 90270 | 2015-01-20 |
| 1417207887 | Alejandra Meza | Case Manager/Care Coordinator | 4930 E.59th Place, Maywood, CA 90270 | 2012-09-13 |
| 1134350267 | Gary Garoian D.d.s., Inc. | Dentist | 4201 East Slauson Ave, Maywood, CA 90270 | 2009-08-06 |
| 1548309560 | Shane Medical Office A Professional Corporation | Internal Medicine | 4316 E. Slauson Ave, Maywood, CA 90270 | 2007-02-06 |
| 1245385178 | Robert M Mendez Jr. | Dentist | 5705 Atlantic Blvd, Suite A1, Maywood, CA 90270 | 2007-01-23 |
| 1215010319 | Leonard J Feld | Dentist | 4332 E Slauson Ave, Maywood, CA 90270 | 2006-10-23 |
| 1366524019 | The Medicine Cabinet Inc. | Pharmacy | 5906 Atlantic Blvd., Maywood, CA 90270 | 2006-10-20 |
| 1578124871 | Javier Jardon, M.d., Medical Corporation | Ophthalmology | 4131 Slauson Ave, Maywood, CA 90270 | 2019-06-26 |
| 1992873947 | Ardmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-11-30 |
| 1275623472 | Andmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-10-16 |
| Find all providers in zip 90270 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598930174 | United Medical Radiology Network | Clinic/Center | 4316 Slauson Ave, Maywood, CA 90270-2838 | 2008-04-24 |
| 1609966977 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 4316 Slauson Ave, Maywood, CA 90270-2838 | 2006-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201012 | Whitsett Diagnostic Inc | Clinic/Center | 12444 Victory Blvd Ste 407, North Hollywood, CA 91606-3199 | 2020-07-02 |
| 1164049508 | Ohni Imaging Inc | Clinic/Center | 8631 W 3rd St # 945e, Los Angeles, CA 90048-5901 | 2020-07-01 |
| 1952924599 | Oracle Imaging Inc. | Clinic/Center | 6941 Brockton Ave, Riverside, CA 92506-3803 | 2020-05-18 |
| 1720625742 | F&m Radiology Medical Center Inc | Clinic/Center | 17779 Ventura Blvd # 100, Encino, CA 91316-3717 | 2019-12-09 |
| 1982240321 | United Care Foundation | Clinic/Center | 2233 Watt Ave Ste 120, Sacramento, CA 95825-0569 | 2019-11-20 |
| 1932744893 | Westcoast Radiology Associates Pllc | Clinic/Center | 4193 Flat Rock Dr Ste 200, Riverside, CA 92505-7113 | 2019-11-14 |
| 1518502087 | Ishraf Corporation | Clinic/Center | 5720 Stoneridge Mall Rd Ste 288, Pleasanton, CA 94588-2830 | 2019-11-08 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
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.