Organization Active NPI

KGV Easy Leasing Corp

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Valley Village, CA
National Provider Identifier
1255588273
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X
Legal business name
KGV EASY LEASING CORP
Practice address
12501 Chandler Blvd
Suite 102
Valley Village, CA 91607-1941
Phone
(818) 980-1171
Fax
(818) 763-8750
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Gregory Davidov
Title
Ceo
Phone
(818) 980-1171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084D0003X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

12501 Chandler Blvd
Suite 102
Valley Village, CA 91607-1941

Mailing address

12501 Chandler Blvd
Suite 102
Valley Village, CA 91607-1941
Phone (818) 980-1171

Other names 1

  • PRIVILEGE DIAGNOSTIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1255588273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD",
            "address_2": "SUITE 102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071941",
            "telephone_number": "818-980-1171",
            "fax_number": "818-763-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 CHANDLER BLVD",
            "address_2": "SUITE 102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916071941",
            "telephone_number": "818-980-1171",
            "fax_number": "818-763-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KGV EASY LEASING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "DAVIDOV",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-980-1171"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIVILEGE DIAGNOSTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.