Western Imaging Marina del Rey Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

WESTERN IMAGING MARINA DEL REY INC

Practice address

4640 Admiralty Way
Suite 102
Marina del Rey, CA 90292-6621

Phone

(310) 736-4395

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rob Petzold

Title

Director of Operations

Phone

(310) 736-4395

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1427593805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY",
            "address_2": "SUITE 102",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926621",
            "telephone_number": "310-736-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY",
            "address_2": "SUITE 102",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926621",
            "telephone_number": "310-736-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN IMAGING MARINA DEL REY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "PETZOLD",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "310-736-4395"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Green Watkins IV, M.D.
• Robert Green Watkins III, M.D.
• Wesley Ryan MD PC
• Sandie West, LMT
• Western Diagnostic & Therapeutic Radiology Medical Group, Inc. (Western Radiologic Medical Group)
• Western Imaging, Marina del Rey
• Westside Therapy Services
• Emily Whalen, D.P.T.
• La Creasure White, NP-C
• Erin V Wigger, LMFT

• Radiology Clinic/Center in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.