Universal Diagnostic Medical Group, Inc.

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

G29768 Issued in CA

Legal business name

UNIVERSAL DIAGNOSTIC MEDICAL GROUP, INC.

Practice address

4322 Wilshire Blvd
Ste 303
Los Angeles, CA 90010-3793

Phone

(310) 822-1522

Fax

(206) 202-4724

NPI assigned

Nov 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven Kaye, MD

Title

Ceo

Phone

(310) 828-1522

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1033399498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 SANTA MONICA BLVD",
            "address_2": "468",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252767",
            "telephone_number": "310-828-1522",
            "fax_number": "206-202-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 WILSHIRE BLVD",
            "address_2": "STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103793",
            "telephone_number": "310-822-1522",
            "fax_number": "206-202-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL DIAGNOSTIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "KAYE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-828-1522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "G29768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Community Health Center
• Universal Community Health Center
• Universal Community Health Center
• Universal Community Health Center
• Universal Community Health Center
• Universal Foot and Ankle Clinic
• Universal Healing Center a Professional Corporation
• Universal Health Care Services Inc.
• Universal Health Foundation
• Universal Health Resources

• Otology & Neurotology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Otology & Neurotology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.