Organization Active NPI

Neuro Healthcare Diagnostic Inc

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Los Angeles, CA
National Provider Identifier
1265756985
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X
License
A77259 Issued in CA
Legal business name
NEURO HEALTHCARE DIAGNOSTIC INC
Practice address
3111 Los Feliz Blvd
200
Los Angeles, CA 90039-1519
Phone
(323) 667-9963
Fax
(323) 667-9964
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Mr. Nazaret Vartanian
Title
Ceo/President
Phone
(323) 667-9963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084D0003X A77259 CA Primary

Addresses

Primary practice location

3111 Los Feliz Blvd
200
Los Angeles, CA 90039-1519

Mailing address

3111 Los Feliz Blvd
200
Los Angeles, CA 90039-1519
Phone (323) 667-9963

National Provider Directory

National Provider Directory

Locations

3111 Los Feliz Blvd
Ste 200
Los Angeles, CA 90039
Phone (323) 667-9963

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1265756985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD",
            "address_2": "200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391519",
            "telephone_number": "323-667-9963",
            "fax_number": "323-667-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD",
            "address_2": "200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391519",
            "telephone_number": "323-667-9963",
            "fax_number": "323-667-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO HEALTHCARE DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "VARTANIAN",
        "authorized_official_first_name": "NAZARET",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "323-667-9963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "CA",
            "license": "A77259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.