Diagnostic Village, a Medical Corporation

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

DIAGNOSTIC VILLAGE, A MEDICAL CORPORATION

Practice address

4223 Glencoe Ave
Suite C-107
Marina del Rey, CA 90292-5669

Phone

(310) 482-0050

Fax

(310) 482-0059

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Richard Turkanis, M.D.

Title

President

Phone

(310) 482-0050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1508052945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 GLENCOE AVE",
            "address_2": "SUITE C-107",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925669",
            "telephone_number": "310-482-0050",
            "fax_number": "310-482-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 GLENCOE AVE",
            "address_2": "SUITE C-107",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925669",
            "telephone_number": "310-482-0050",
            "fax_number": "310-482-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC VILLAGE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "TURKANIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-482-0050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.