Provider Demographics
NPI:1598734113
Name:WESTSIDE MEDICAL IMAGING
Entity type:Organization
Organization Name:WESTSIDE MEDICAL IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAIED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEMIRANEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-623-1146
Mailing Address - Street 1:99 N LA CIENEGA BLVD
Mailing Address - Street 2:#103
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2222
Mailing Address - Country:US
Mailing Address - Phone:310-623-1146
Mailing Address - Fax:310-623-1142
Practice Address - Street 1:99 N LA CIENEGA BLVD
Practice Address - Street 2:#103
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2222
Practice Address - Country:US
Practice Address - Phone:310-623-1146
Practice Address - Fax:310-623-1142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty