Organization Active NPI

West Coast Medical Diagnostic Services, Inc

  • Sonography Radiologic Technologist
  • Los Angeles, CA
National Provider Identifier
1568577161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
Legal business name
WEST COAST MEDICAL DIAGNOSTIC SERVICES, INC
Practice address
4311 Wilshire Blvd
512
Los Angeles, CA 90010-3708
Phone
(323) 938-6559
NPI assigned
Aug 21, 2006
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
Edward Waldman
Title
President
Phone
(323) 938-6559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X Primary

Addresses

Primary practice location

4311 Wilshire Blvd
512
Los Angeles, CA 90010-3708

Mailing address

4311 Wilshire Blvd
512
Los Angeles, CA 90010-3708
Phone (323) 938-6559

National Provider Directory

National Provider Directory

Locations

4311 Wilshire Blvd
Ste 512
Los Angeles, CA 90010
Phone (323) 938-6559

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568577161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 WILSHIRE BLVD",
            "address_2": "512",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103708",
            "telephone_number": "323-938-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 WILSHIRE BLVD",
            "address_2": "512",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103708",
            "telephone_number": "323-938-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST MEDICAL DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-938-6559"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "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.