City Diagnostic Medical Group, Inc.

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

G029768 Issued in CA

Legal business name

CITY DIAGNOSTIC MEDICAL GROUP, INC.

Practice address

20301 Ventura Blvd
115
Woodland Hills, CA 91364-2447

Phone

(818) 992-1801

Fax

(206) 202-4724

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Steven Kaye, MD

Title

Ceo

Phone

(310) 871-3434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1285817197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22631 PACIFIC COAST HWY",
            "address_2": "#441",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655036",
            "telephone_number": "310-871-3434",
            "fax_number": "206-202-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD",
            "address_2": "115",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642447",
            "telephone_number": "818-992-1801",
            "fax_number": "206-202-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DIAGNOSTIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "KAYE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-871-3434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "G029768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otology & Neurotology Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Otology & Neurotology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.