WESTERN IMAGING MARINA DEL REY NPI 1528153665

NPI Information

  • NPI: 1528153665
  • Provider Name: WESTERN IMAGING, MARINA DEL REY
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 4640 ADMIRALTY WAY
    SUITE 102
    MARINA DEL REY, CA
    ZIP 90292
  • Phone: (310) 836-4700

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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