Medultrasound

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

Legal business name

MEDULTRASOUND

Practice address

5310 Zelzah Ave
#105
Encino, CA 91316-2212

Phone

(323) 350-3543

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Mark Pravin

Title

Owner

Phone

(323) 350-3543

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1215316740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 ZELZAH AVE",
            "address_2": "#105",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162212",
            "telephone_number": "323-350-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 ZELZAH AVE",
            "address_2": "#105",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162212",
            "telephone_number": "323-350-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDULTRASOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "PRAVIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-350-3543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hagit Medovoi, OTR
• Leslie Yesenia Medrano, SPA
• Jaime Elizabeth Medvene, PH.D.
• Ann Meehan
• Neda Mehrabani, DC/LAC
• Yousef Mehrabi, M.D
• Mehran Nowfar-Rad, M.D., Inc.

• Sonography Radiologic Technologist in Encino, CA
• Providers in Encino, CA by specialty
• Sonography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.