Organization Active NPI

Misali Med. GR. Inc.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1417043290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G11856 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
G11856OtherCAMEDICAL LIC. NO.

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.