LEON KELECHIAN NPI 1275628901

NPI Information

NPI: 1275628901
Provider Name: LEON KELECHIAN

Former Legal Business Name: OMEGA ULTRASOUND DIAGNOSTIC CENTER

Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
4668 HOLLYWOOD BLVD.
LOS ANGELES, CA
ZIP 90027
Phone: (323) 663-2481
Get Directions

LEON KELECHIAN is a diagnostic ultrasound radiology in Los Angeles, CA. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. LEON KELECHIAN NPI is 1275628901. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Omega Ultrasound Diagnostic Center.

The provider's business location address is:

4668 HOLLYWOOD BLVD.
LOS ANGELES, CA
ZIP 90027-408
Phone: (323) 663-2481
Fax: (323) 663-2481

The provider's authorized official is Leon Keleshian .
The authorized official title is Owner and has the following contact phone number (323) 663-2481.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 6/18/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound	834952-18	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TG048	MEDICARE PIN
2	DIAA00300	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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