OrganizationActive
Advanced Fullerton Imaging, Inc.
NPI 1487812400 · Diagnostic Radiology Physician · Fullerton, CA
Provider details
- NPI number
- 1487812400
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Hosam Moustafa, President(760) 946-5177
- License
- A71010 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
301 W Bastanchury Rd
# 130
Fullerton, CA 92835-3419
Phone: (760) 946-5177
Approximate (ZIP-level) locationGet directions
Mailing address
17868 US Highway 18
Apple Valley, CA 92307-1267
Registry dates
- Enumerated
- 2008-05-27
- Last updated
- 2009-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.