Ipb Medical Diagnostic, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

IPB MEDICAL DIAGNOSTIC, INC.

Practice address

8939 S Sepulveda BL
Suite 504
Los Angeles, CA 90045-3631

Phone

(310) 649-5264

Fax

(310) 822-1062

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Pavel Baimkin

Title

President

Phone

(310) 500-6410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144391947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9155",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902951555",
            "telephone_number": "310-500-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 S SEPULVEDA BL",
            "address_2": "SUITE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453631",
            "telephone_number": "310-649-5264",
            "fax_number": "310-822-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPB MEDICAL DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAIMKIN",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-500-6410"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Iovine, MD
• Bonnie Ip, DPT
• Kurtis Ip, DPT
• Moon Ip, MD
• Wing Sze Tina Ip
• Andrew Ippoliti, M.D.
• Anum Iqbal
• Syma Iqbal, M.D.
• Iradj H. Nazarian
• Iradj Nazarian MD

• Physiological Laboratory in Los Angeles, CA
• Providers in Los Angeles, 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.