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WESTERN IMAGING MARINA DEL REY NPI 1528153665


NPI Information

NPI: 1528153665
Provider Name: WESTERN IMAGING, MARINA DEL REY
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
4640 ADMIRALTY WAY
SUITE 102
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 836-4700
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WESTERN IMAGING, MARINA DEL REY is a diagnostic radiology radiology in Marina Del Rey, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WESTERN IMAGING, MARINA DEL REY NPI is 1528153665. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4640 ADMIRALTY WAY
SUITE 102
MARINA DEL REY, CA
ZIP 90292-621
Phone: (310) 836-4700
Fax: (310) 836-6925

The provider's authorized official is Matthew J Lotysch .
The authorized official title is Medical Director and has the following contact phone number 31083964700.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/30/2007.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
1GR0017072MEDICAIDCALIFORNIA
2W13956MEDICARE PINCALIFORNIA

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.