Active NPI
Misali Med. GR. Inc.
- Diagnostic Radiology Physician
- Los Angeles, CA
National Provider Identifier
1417043290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G11856
- Legal business name
- MISALI MED. GR. INC.
- Practice address
- 10430 Wilshire Blvd
No. 206
Los Angeles, CA 90024-4651 - Phone
- (310) 441-9945
- Fax
- (818) 782-7026
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Manuel Litwin, MD
- Title
- President
- Phone
- (310) 441-9945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G11856 | CA | Primary |
Addresses
Primary practice location
10430 Wilshire Blvd
No. 206
Los Angeles, CA 90024-4651
Mailing address
10430 Wilshire Blvd
No. 206
Los Angeles, CA 90024-4651
Phone (310) 441-9945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G11856 | Other | CA | MEDICAL LIC. NO. |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417043290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10430 WILSHIRE BLVD",
"address_2": "NO. 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244651",
"telephone_number": "310-441-9945",
"fax_number": "818-782-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10430 WILSHIRE BLVD",
"address_2": "NO. 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244651",
"telephone_number": "310-441-9945",
"fax_number": "818-782-7026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISALI MED. GR. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LITWIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "MANUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-441-9945",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G11856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LIC. NO.",
"identifier": "G11856",
"state": "CA"
}
],
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.