Organization Active NPI

Mednik Medical Corporation

  • Mobile Radiology Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1174740880
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
A52346 Issued in CA
Legal business name
MEDNIK MEDICAL CORPORATION
Practice address
8501 Wilshire Blvd
Ste 250
Beverly Hills, CA 90211-3101
Phone
(310) 492-0613
Fax
(310) 289-0372
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. George Mednik, M.D., PH. D.NPI 1902858368
Title
President
Phone
(310) 492-0613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X A52346 CA
Mobile Radiology Clinic/Center 261QR0208X A52346 CA Primary

Addresses

Primary practice location

8501 Wilshire Blvd
Ste 250
Beverly Hills, CA 90211-3101

Mailing address

369 S Doheny Dr
Suite 210
Beverly Hills, CA 90211-3508

Other identifiers 1

IdentifierTypeStateIssuer
00A523461MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180411001555 CA Part B Supplier - Clinic/Group Practice 6608139324 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

291 S La Cienega Blvd
Ste 404
Beverly Hills, CA 90211
Phone (323) 525-0249

8425 W 3rd St
Ste 206
Los Angeles, CA 90048
Phone (323) 525-0249

425 S Fairfax Ave
Ste 302
Los Angeles, CA 90036
Phone (323) 650-2610

1200 N Tustin Ave
Ste 130
Santa Ana, CA 92705
Phone (657) 600-9077

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1174740880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 S DOHENY DR",
            "address_2": "SUITE 210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WILSHIRE BLVD",
            "address_2": "STE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113101",
            "telephone_number": "310-492-0613",
            "fax_number": "310-289-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNIK MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MEDNIK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-492-0613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH. D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "A52346",
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": "A52346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A523461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.