Western Diagnostic & Therapeutic Radiology Medical Group, Inc. in Marina Del Rey - Diagnostic Radiology
Western Diagnostic & Therapeutic Radiology Medical Group, Inc. - NPI 1700979390
Western Diagnostic & Therapeutic Radiology Medical Group, Inc. is a Diagnostic Radiology in Marina Del Rey, California. Western Diagnostic & Therapeutic Radiology Medical Group, Inc. practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Western Diagnostic & Therapeutic Radiology Medical Group, Inc. is 1700979390. The last update date is 2012-06-14.
Western Diagnostic & Therapeutic Radiology Medical Group, Inc.'s current location address is 4640 Admiralty Way, Marina Del Rey, California. You can contact this provider via phone number 3108361574 and fax number 3108366925. The mailing address for Western Diagnostic & Therapeutic Radiology Medical Group, Inc. is 4640 Admiralty Way, Marina Del Rey, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Diagnostic & Therapeutic Radiology Medical Group, Inc. |
|---|---|
| Address | 4640 Admiralty Way, Marina Del Rey, California |
| Phone Number | 3108361574 |
| Fax Number | 3108366925 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Loizeaux-Witte N. John |
| Credentials | M.D. |
| Telephone Number | 3108361574 |
NPI Number Detail
| NPI Number | 1700979390 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2012-06-14 |
Provider Mailing Address Detail
| Address | 4640 Admiralty Way |
|---|---|
| City | Marina Del Rey |
| State | California (CA) |
| Post Code | 902926621 |
| Phone Number | 3108361574 |
| Fax Number | 3108366925 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0017071 | CA | -- | |
| GR0017076 | CA | -- | |
| GR0017072 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Western Diagnostic & Therapeutic Radiology Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The Western Diagnostic & Therapeutic Radiology Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1700979390 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Western Diagnostic & Therapeutic Radiology Medical Group, Inc. is geographically located?
The Western Diagnostic & Therapeutic Radiology Medical Group, Inc. is physically situated at the following location: 4640 Admiralty Way, Marina Del Rey, CA, 902926621.
What is Western Diagnostic & Therapeutic Radiology Medical Group, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Western Diagnostic & Therapeutic Radiology Medical Group, Inc.'s specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date did Western Diagnostic & Therapeutic Radiology Medical Group, Inc. receive its 1700979390 assignment from the Centers for Medicare & Medicaid Services?
The Western Diagnostic & Therapeutic Radiology Medical Group, Inc. was assigned its 1700979390 on 2006-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Western Diagnostic & Therapeutic Radiology Medical Group, Inc.'s information last updated?
The Western Diagnostic & Therapeutic Radiology Medical Group, Inc.'s information was last updated on 2012-06-14.
NPI Number: 1720081763
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