Organization Active NPI

Privilege Imaging,Inc

  • Preferred Provider Organization
  • Los Angeles, CA
National Provider Identifier
1487607925
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
PRIVILEGE IMAGING,INC
Practice address
240 N Virgil Ave
Los Angeles, CA 90004-5399
Phone
(310) 277-9533
NPI assigned
May 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Karine Aivazova
Title
Ceo
Phone
(310) 277-9533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NU Primary

Addresses

Primary practice location

240 N Virgil Ave
Los Angeles, CA 90004-5399

Mailing address

240 N Virgil Ave
Los Angeles, CA 90004-5293
Phone (310) 277-9533

National Provider Directory

National Provider Directory
Tax ID family
Privilege Imaging Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

240 N Virgil Ave
Los Angeles, CA 90004
Phone (310) 277-9533

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487607925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N VIRGIL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045293",
            "telephone_number": "310-277-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N VIRGIL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045399",
            "telephone_number": "310-277-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVILEGE IMAGING,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AIVAZOVA",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-277-9533"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.