Organization Active NPI

Hollywood Imaging&Diagnostic.Inc

  • Diagnostic Ultrasound Physician
  • Los Angeles, CA
National Provider Identifier
1386697563
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
HOLLYWOOD IMAGING&DIAGNOSTIC.INC
Practice address
6404 Wilshire Blvd
Suite#705
Los Angeles, CA 90048-5501
Phone
(323) 782-9383
Fax
(323) 782-9560
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Marina Geykman
Title
Ceo
Phone
(323) 782-9383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

6404 Wilshire Blvd
Suite#705
Los Angeles, CA 90048-5501

Mailing address

6404 Wilshire Blvd
Suite#705
Los Angeles, CA 90048-5509
Phone (323) 782-9383

National Provider Directory

National Provider Directory

Locations

6404 Wilshire Blvd
Ste 705
Los Angeles, CA 90048
Phone (323) 782-9383

7060 Hollywood Blvd
Ste 303
Los Angeles, CA 90028
Phone (323) 469-7506

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1386697563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 WILSHIRE BLVD",
            "address_2": "SUITE#705",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485509",
            "telephone_number": "323-782-9383",
            "fax_number": "323-782-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 WILSHIRE BLVD",
            "address_2": "SUITE#705",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485501",
            "telephone_number": "323-782-9383",
            "fax_number": "323-782-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD IMAGING&DIAGNOSTIC.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "GEYKMAN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-782-9383"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "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 Aug 26, 2013; 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.