Radiant Radiology Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

4012390 Issued in CA

Legal business name

RADIANT RADIOLOGY INC

Practice address

725 N Shepard St
Anaheim, CA 92806-2836

Phone

(818) 402-2831

Fax

(818) 347-1066

NPI assigned

Jun 27, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Reymond Gamzeletova

Title

Vice President

Phone

(818) 402-2831

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902327281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N SHEPARD ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062836",
            "telephone_number": "818-402-2831",
            "fax_number": "818-347-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N SHEPARD ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062836",
            "telephone_number": "818-402-2831",
            "fax_number": "818-347-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GAMZELETOVA",
        "authorized_official_first_name": "REYMOND",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-402-2831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "4012390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daisy Rafaela
• Rafeeq N. Rahman D.D.S.
• Tabasom Rafi, DDS
• Manoochehr Rafiean

• Radiology Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.