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MULTI DIAGNOSTIC IMAGING AND BREAST CENTER MEDICAL GROUP INC. NPI 1164503371


NPI Information

NPI: 1164503371
Provider Name: MULTI DIAGNOSTIC IMAGING AND BREAST CENTER MEDICAL GROUP INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4910 VAN NUYS BLVD
110
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 986-8215
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MULTI DIAGNOSTIC IMAGING AND BREAST CENTER MEDICAL GROUP INC. is a specialist in Sherman Oaks, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MULTI DIAGNOSTIC IMAGING AND BREAST CENTER MEDICAL GROUP INC. NPI is 1164503371. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4910 VAN NUYS BLVD
110
SHERMAN OAKS, CA
ZIP 91403-782
Phone: (818) 986-8215
Fax: (818) 986-9582

The provider's authorized official is Khosrow Sadrieh .
The authorized official title is President and has the following contact phone number (818) 986-8215.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA29572CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ97621ZOTHERCALIFORNIABLUE CROSS PROVIDER NUMBE
2ZZZ48958ZOTHERCALIFORNIABLUE SHIELD PROVIDER NUMB
300A295720MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.