Provider Demographics
NPI:1609185867
Name:F & M RADIOLOGY MEDICAL CENTER
Entity type:Organization
Organization Name:F & M RADIOLOGY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-708-6163
Mailing Address - Street 1:20011 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2573
Mailing Address - Country:US
Mailing Address - Phone:818-708-6163
Mailing Address - Fax:818-340-5537
Practice Address - Street 1:20011 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2573
Practice Address - Country:US
Practice Address - Phone:818-708-6163
Practice Address - Fax:818-340-5537
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:F & M RADIOLOGY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-05
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site