Executive Medical Diagnostics

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

C2823798 Issued in CA

Legal business name

EXECUTIVE MEDICAL DIAGNOSTICS

Practice address

31852 Coast Hwy
Suite 201
Laguna Beach, CA 92651-6764

Phone

(949) 715-0505

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

George Shahinian, M.D.

Title

President

Phone

(949) 715-0505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1346489010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY",
            "address_2": "SUITE 201",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516764",
            "telephone_number": "949-715-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY",
            "address_2": "SUITE 201",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516764",
            "telephone_number": "949-715-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE MEDICAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "SHAHINIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-715-0505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": "C2823798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn E Epstein, M.S., SLP-CCC
• Erik J Geiger MD Inc.
• Escr Healthcare Management, LLC
• Shabnam Esmailzadeh K, LAC
• Aaron Esrig, M.D.
• Exist Centers, LLC
• Alexandra Fabry-Mourer, B.A.
• Musa Faidi, ESQ., AMFT PENDING#
• Mark Steven Falcone, M.D.
• Alexander Hao Fan, M.D.

• Physiological Laboratory in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.