Mak Diagnostic Services, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MAK DIAGNOSTIC SERVICES, INC.

Practice address

292 S la Cienega Blvd
Ste 202
Beverly Hills, CA 90211-3330

Phone

(310) 289-0217

Fax

(310) 289-0372

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Boris Gerzenshtein

Title

Administrator

Phone

(310) 289-0217

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1093799108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 WILSHIRE BLVD",
            "address_2": "STE 210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112382",
            "telephone_number": "310-289-0217",
            "fax_number": "310-289-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 S LA CIENEGA BLVD",
            "address_2": "STE 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113330",
            "telephone_number": "310-289-0217",
            "fax_number": "310-289-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAK DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "GERZENSHTEIN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-289-0217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S ROVIDER NUMBER",
            "identifier": "ZZZ44102Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahkameh Soleimani-Farnad DDS, Inc.
• Minoo Mahmoudi, MD
• Jamie Mahtaban, D.C.
• Makenna Alex Maimin
• Elaine Majuan, MS, CF- SLP
• Jacklin Makabi, RDH
• Make You Perfect, Inc
• Alla Maksimova, NP
• Ludmila Malakhov, PT, DPT
• Gregory Steven Malakoff, D.C.

• Radiology Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.