Huntington Medical Diagnostics, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

HUNTINGTON MEDICAL DIAGNOSTICS, INC.

Practice address

569 S Azusa Way
La Puente, CA 91744-5113

Phone

(954) 483-6614

Fax

(954) 483-6614

NPI assigned

Jun 9, 2017

Last updated

Jun 9, 2017By 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

Mohammad Ali Dorafshar

Title

Consultant

Phone

(818) 999-0099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1467981670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906308147",
            "telephone_number": "954-483-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 S AZUSA WAY",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445113",
            "telephone_number": "954-483-6614",
            "fax_number": "954-483-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON MEDICAL DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "DORAFSHAR",
        "authorized_official_first_name": "MOHAMMAD ALI",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "818-999-0099"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in La Puente, CA
• Providers in La Puente, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.