BROOKSHIRE IMAGING – NPI #1861593360
Clinic/Center

BROOKSHIRE IMAGING is an AHC clinic located in DOWNEY, CA. NPPES has assigned the NPI number 1861593360 to BROOKSHIRE IMAGING on September 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BROOKSHIRE IMAGING” is a dba name, the actual legal business name for this organization is FUNCTIONAL RESTORATION MEDICAL CENTER, INC,. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROOKSHIRE IMAGING below.

NPI Profile for
FUNCTIONAL RESTORATION MEDICAL CENTER, INC,

NPI Number
1861593360
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FUNCTIONAL RESTORATION MEDICAL CENTER, INC,
Doing Business As (dba): BROOKSHIRE IMAGING
Primary location
11411 BROOKSHIRE AVE
SUITE 101
DOWNEY, CA 90241-5003
Phone: (562) 869-9192 Fax: (562) 923-1609
Mailing address
9134 W OLYMPIC BLVD
BEVERLY HILLS, CA 90212-3540
Phone: (310) 432-1000 Fax:
Organization Subpart
No
Authorized Official
MOOSA HEIKALI
MEDICAL DIRECTOR
Phone: (310) 432-1000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.