FUNCTIONAL RESTORATION MEDICAL CENTER, INC,


Address: 15825 Laguna Canyon Rd, Suite 101, Irvine, CA 92618-2125
Phone: 9497779000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
IRVINE OPEN MRI Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 15825 LAGUNA CANYON RD
SUITE 101
City IRVINE
State CA
Zip Code 92618-2125

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

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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
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Competitor

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City IRVINE
Zip Code 92618

Improve Information

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Dataset Information

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.

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