GARDEN GROVE IMAGING
NPI 1205937752
Clinic/Center - Radiology in Garden Grove, CA

Active since September 26, 2006
12828 HARBOR BLVD, SUITE 200, GARDEN GROVE, CA 92840(714) 620-8200(714) 620-8211 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Garden Grove Imaging NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARDEN GROVE IMAGING (NPI 1205937752) is a healthcare organization registered as a radiology in Garden Grove, California and active in the NPI registry since September 2006. The organization lists Moosa Heikali, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1205937752
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameFUNCTIONAL RESTORATION MEDICAL CENTER, INC,
Location Address12828 HARBOR BLVD, SUITE 200Garden Grove, CA 92840-5831
Mailing Address9134 W Olympic BlvdBeverly Hills, CA 90212-3540 · (310) 432-1000 · Fax (310) 432-4321
Fax(714) 620-8211
Organization SubpartNo
Authorized OfficialMoosa HeikaliMedical Director · (310) 432-1000
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1205937752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
12828 HARBOR BLVD, Garden Grove, CA 92840

Other Names 1

Doing Business AsGarden Grove Imaging

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
12828 HARBOR BLVD, #320
GARDEN GROVE, CA 92840
Nurse Anesthetist, Certified Registered
12828 HARBOR BLVD, STE 210
GARDEN GROVE, CA 92840
Family Medicine
12828 HARBOR BLVD, SUITE 230
GARDEN GROVE, CA 92840
Anesthesiology
12828 HARBOR BLVD, SUITE 210
GARDEN GROVE, CA 92840
Family Medicine
12828 HARBOR BLVD, SUITE 230
GARDEN GROVE, CA 92840
Dentist (Orthodontics and Dentofacial Orthopedics)
12828 HARBOR BLVD, 350
GARDEN GROVE, CA 92840
Case Manager/Care Coordinator
12828 HARBOR BLVD, SUITE 230
GARDEN GROVE, CA 92840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functional Restoration Medical Center, Inc,'s NPI number?

The NPI number for Functional Restoration Medical Center, Inc, is 1205937752. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Garden Grove Imaging.

Where is Functional Restoration Medical Center, Inc, located?

Functional Restoration Medical Center, Inc, is located at 12828 Harbor Blvd Suite 200, Garden Grove, CA 92840. The listed phone number is (714) 620-8200.

What is Functional Restoration Medical Center, Inc,'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Functional Restoration Medical Center, Inc, was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.