Pdi Health Ca LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PDI HEALTH CA LLC

Practice address

3415 South Sepulveda Blvd Ste 1100
Los Angeles, CA 90034

Phone

(800) 749-9729

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Menacehm Tauber

Title

Ceo

Phone

(800) 749-9729

Specialties & licenses 1

Addresses

Tax ID family

Pdi Health Ca LLC2 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.

• Pdi Health Ca LLC

  • Mobile Radiology Clinic/Center
  • Los Angeles, CA
  • NPI 1154946655
  NPD tax ID

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1518582014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SPENCER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11205",
            "telephone_number": "800-749-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 SOUTH SEPULVEDA BLVD STE 1100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90034",
            "telephone_number": "800-749-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDI HEALTH CA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "TAUBER",
        "authorized_official_first_name": "MENACEHM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-749-9729"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pdi Health Ca LLC
• Araceli Pe'a
• Tifini Pea
• Christopher Peabody, MD, MPH
• Spring Peabody, LCSW
• Peace From Within Therapy Inc

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.