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HOLLYWOOD IMAGING&DIAGNOSTIC.INC NPI 1386697563


NPI Information

NPI: 1386697563
Provider Name: HOLLYWOOD IMAGING&DIAGNOSTIC.INC
Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
6404 WILSHIRE BLVD
SUITE#705
LOS ANGELES, CA
ZIP 90048
Phone: (323) 782-9383
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HOLLYWOOD IMAGING&DIAGNOSTIC.INC is a diagnostic ultrasound radiology in Los Angeles, CA. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. HOLLYWOOD IMAGING&DIAGNOSTIC.INC NPI is 1386697563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6404 WILSHIRE BLVD
SUITE#705
LOS ANGELES, CA
ZIP 90048-501
Phone: (323) 782-9383
Fax: (323) 782-9560

The provider's authorized official is Marina Geykman .
The authorized official title is Ceo and has the following contact phone number (323) 782-9383.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/26/2013.


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
12085U0001XRadiologyDiagnostic UltrasoundYes

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
1TG-090MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2TG 090MEDICARE 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

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