FUNCTIONAL RESTORATION MEDICAL CENTER, INC, (NPI# 1396846762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396846762 |
Entity Type | Organization |
Organization Name | FUNCTIONAL RESTORATION MEDICAL CENTER, INC, |
Other Organization Name | IRVINE OPEN MRI |
Practice Address |
15825 Laguna Canyon Rd Suite 101 Irvine CA 92618-2125 |
Mailing Address |
9134 W Olympic Blvd Beverly Hills CA 90212-3540 |
Practice Telephone | 9497779000 |
Practice Fax Number | 9497779007 |
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 |
---|---|
IRVINE 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 |
1063513455 | Functional Restoration Medical Center, Inc | Clinic/Center | 4316 Slauson Ave, Maywood, CA 90270-2838 | 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 |
15825 LAGUNA CANYON RD SUITE 101 |
City | IRVINE |
State | CA |
Zip Code | 92618-2125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770586778 | Charles Robert Sexton | Dermatology | 15825 Laguna Canyon Rd, Ste 203, Irvine, CA 92618-2127 | 2005-05-23 |
1598111262 | Anjali Monga Md Inc | Obstetrics & Gynecology | 15825 Laguna Canyon Rd, Suite 102, Irvine, CA 92618-2125 | 2016-05-11 |
1750771630 | Joyce C. Chen, Md, PC | Plastic Surgery | 15825 Laguna Canyon Rd, Suite 208, Irvine, CA 92618-2125 | 2015-01-29 |
1508126319 | Nina Sharma | Dentist | 15825 Laguna Canyon Rd, Suite 206, Irvine, CA 92618-2125 | 2012-05-25 |
1578887790 | Irvine Gastroenterology | Clinic/Center | 15825 Laguna Canyon Rd, Suite 106, Irvine, CA 92618-2125 | 2010-03-17 |
1811139595 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 15825 Laguna Canyon Rd, Suite 201, Irvine, CA 92618-2125 | 2009-03-27 |
1164698379 | Mk Sg Dental Corp | Dentist | 15825 Laguna Canyon Rd, 206, Irvine, CA 92618-2125 | 2008-05-07 |
1063687648 | United Medical Radiology Network | Clinic/Center | 15825 Laguna Canyon Rd, # 101, Irvine, CA 92618-2125 | 2008-04-24 |
1477722643 | Joyce Chiyi Chen | Plastic Surgery | 15825 Laguna Canyon Rd, Suite 208, Irvine, CA 92618-2125 | 2008-02-21 |
1699960864 | Joseph L Packer | Dentist | 15825 Laguna Canyon Rd, Irvine, CA 92618-2125 | 2007-09-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
Find all providers in zip 92618 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083047955 | Wave Imaging, LLC | Clinic/Center | 4050 Barranca Pkwy, Suite 160, Irvine, CA 92604-7706 | 2013-08-15 |
1548594278 | West Coast Petct | Clinic/Center | 16300 Sand Canyon Ave, Suite 103, Irvine, CA 92618-3711 | 2009-09-29 |
1043451230 | West Coast Petct LLC | Clinic/Center | 16300 Sand Canyon Ave, Suite 103, Irvine, CA 92618-3711 | 2009-03-17 |
1063687648 | United Medical Radiology Network | Clinic/Center | 15825 Laguna Canyon Rd, # 101, Irvine, CA 92618-2125 | 2008-04-24 |
1265522536 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 15825 Laguna Canyon Rd, Suite # 101, Irvine, CA 92618-2125 | 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.