Westside Technical Copr

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

80656 Issued in CA

Legal business name

WESTSIDE TECHNICAL COPR

Practice address

5300 Santa Monica Blvd
411
Los Angeles, CA 90029-1131

Phone

(323) 463-6319

Fax

(323) 463-6321

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Levon Yeghiazaryan

Title

Owner/Ceo

Phone

(323) 463-6319

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467534552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD",
            "address_2": "411",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291131",
            "telephone_number": "323-463-6319",
            "fax_number": "323-463-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SANTA MONICA BLVD",
            "address_2": "411",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291131",
            "telephone_number": "323-463-6319",
            "fax_number": "323-463-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE TECHNICAL COPR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEGHIAZARYAN",
        "authorized_official_first_name": "LEVON",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "323-463-6319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "80656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiologic Technologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Radiologic Technologist in California

• 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.