Provider Demographics
NPI:1063123719
Name:PULSE CARDIAC IMAGING INC
Entity type:Organization
Organization Name:PULSE CARDIAC IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIKI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSSADAD-REZZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-727-2331
Mailing Address - Street 1:PO BOX 5704
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-5704
Mailing Address - Country:US
Mailing Address - Phone:877-727-2331
Mailing Address - Fax:818-696-1602
Practice Address - Street 1:411 N CENTRAL AVE STE 200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2092
Practice Address - Country:US
Practice Address - Phone:877-727-2331
Practice Address - Fax:818-696-1602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyGroup - Single Specialty