OrganizationActive
Advanced Diagnostic & Management
NPI 1285783639 · Mobile Radiology Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1285783639
- Entity type
- Organization
- Primary specialty
- Mobile Radiology Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Teimur Az Urushadze, Owner
Practice location
6210 Wilshire Blvd Ste 205
Los Angeles, CA 90048-5124
Phone: (310) 770-9528
Mailing address
6210 Wilshire Blvd Ste 205
Los Angeles, CA 90048-5124
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2007-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.