Doctors Diagnostic Center of the Valley

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

DOCTORS DIAGNOSTIC CENTER OF THE VALLEY

Practice address

14148 Magnolia Blvd
Suite 102
Sherman Oaks, CA 91423-6413

Phone

(818) 990-0880

Fax

(818) 990-0439

NPI assigned

May 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jihad Al Imami, M.D.

Title

President

Phone

(818) 990-0880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073721502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14148 MAGNOLIA BLVD",
            "address_2": "SUITE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236413",
            "telephone_number": "818-990-0880",
            "fax_number": "818-990-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14148 MAGNOLIA BLVD",
            "address_2": "SUITE 102",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236413",
            "telephone_number": "818-990-0880",
            "fax_number": "818-990-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS DIAGNOSTIC CENTER OF THE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AL IMAMI",
        "authorized_official_first_name": "JIHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-990-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.