Impulse Medical Diagnostics Inc

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

IMPULSE MEDICAL DIAGNOSTICS INC

Practice address

21781 Ventura Blvd
Suite 113
Woodland Hills, CA 91364-1835

Phone

(818) 609-0200

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Rafael Rodriguez, M.D.

Title

Ceo

Phone

(818) 609-0200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1386905933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21781 VENTURA BLVD",
            "address_2": "SUITE 113",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641835",
            "telephone_number": "818-609-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21781 VENTURA BLVD",
            "address_2": "SUITE 113",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641835",
            "telephone_number": "818-609-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPULSE MEDICAL DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-609-0200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Electroneurodiagnostic Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.