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WIRELESS DIAGNOSTIC NPI 1821164070


NPI Information

NPI: 1821164070
Provider Name: WIRELESS DIAGNOSTIC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 05D2099436

Address:
2080 CENTURY PARK EAST #1206
LOS ANGELES, CA
ZIP 90067
Phone: (310) 282-0525
Get Directions

WIRELESS DIAGNOSTIC is a gastroenterology internal medicine in Los Angeles, CA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. WIRELESS DIAGNOSTIC NPI is 1821164070. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2080 CENTURY PARK EAST #1206
LOS ANGELES, CA
ZIP 90067
Phone: (310) 282-0525
Fax: (310) 201-0662

The provider's authorized official is Nicholas Karyotakis .
The authorized official title is Owner and has the following contact phone number (310) 282-0525.

The CLIA number assigned to this NPI record is 05D2099436 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/7/2015.


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
1207RG0100XInternal MedicineGastroenterologyA61044CALIFORNIAYes

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
1G71815MEDICARE UPIN
2WA61044CMEDICARE ID-TYPE UNSPECIFIED

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.