Functional Restoration Medical Center, Inc,
NPI #1285735795 in Buena Park, California
Provider Information
- NPI Number
- 1285735795
- Entity Type
- Organization
- Organization Name
- Functional Restoration Medical Center, Inc,
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Sep 6, 2023
Practice Location
- Address
- 6131 ORANGETHORPE AVE
- Address 2
- SUITE 130
- City
- Buena Park
- State
- California
- ZIP Code
- 90620-1315
- Phone
- (714) 522-2077
Authorized Official
- Name
- DR. MOOSA HEIKALI, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (310) 432-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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