NPI 1124521331 · live from the CMS NPI Registry
Advanced Mfm Imaging Center, INC.
Obstetrics & Gynecology, Maternal & Fetal Medicine in Glendale, CA. National Provider Identifier 1124521331, active.
NPI record
| NPI | 1124521331 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Maternal & Fetal Medicine 207VM0101X |
| Practice location | 1577 E Chevy Chase Dr Ste 300, Glendale, CA 91206 |
| Practice phone | 818-240-8300 |
| Enumerated | March 14, 2018 |
| Last updated | March 14, 2018 |
| Authorized official | Krystyne Danyell, President |
| Other names | Advanced Mfm Imaging Center, INC. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Ultrasound | 2085U0001X | A32023 (CA) |
| Radiology, Diagnostic Radiology | 2085R0202X | A32023 (CA) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine primary | 207VM0101X | A69154 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.