Organization Active NPI

Vital Scan Inc

  • Physiological Laboratory
  • Los Angeles, CA
National Provider Identifier
1053464156
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
VITAL SCAN INC
Practice address
6399 Wilshire Blvd
Suite 319-321
Los Angeles, CA 90048-5703
Phone
(323) 653-2200
Fax
(323) 651-1970
NPI assigned
Jan 19, 2007
Last updated
Jan 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Inna Davidov
Title
Ceo
Phone
(323) 653-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

6399 Wilshire Blvd
Suite 319-321
Los Angeles, CA 90048-5703

Mailing address

PO Box 48708
Los Angeles, CA 90048-0708
Phone (323) 653-2200

National Provider Directory

National Provider Directory

Locations

6399 Wilshire Blvd
Los Angeles, CA 90048
Phone (213) 483-8888

6399 Wilshire Blvd
Ste 208
Los Angeles, CA 90048
Phone (323) 653-2200

6399 Wilshire Blvd
Ste 319321
Los Angeles, CA 90048
Phone (323) 653-2200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1053464156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48708",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900480708",
            "telephone_number": "323-653-2200",
            "fax_number": "323-651-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 WILSHIRE BLVD",
            "address_2": "SUITE 319-321",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485703",
            "telephone_number": "323-653-2200",
            "fax_number": "323-651-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL SCAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "DAVIDOV",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-653-2200"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.