Prof.Imaging Grpoup, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PROF.IMAGING GRPOUP, INC

Practice address

9914 San Juan Ave
South Gate, CA 90280-6108

Phone

(323) 569-6979

Fax

(323) 249-4626

NPI assigned

May 26, 2006

Last updated

Aug 22, 2020By 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

Mr. Vadim DanielianNPI 1689141483

Title

Manager

Phone

(323) 821-7772

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vadim Danielian

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1689141483
  Authorized official Same address or phone
• H James Kojian II, MD

  • Emergency Medicine Physician
  • Glendale, CA
  • NPI 1720032360
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598711046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102316",
            "telephone_number": "213-386-2942",
            "fax_number": "213-386-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9914 SAN JUAN AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806108",
            "telephone_number": "323-569-6979",
            "fax_number": "323-249-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROF.IMAGING GRPOUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIELIAN",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-821-7772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Aswani DDS,Inc.
• Harold Edward Potts, D.C.
• N.K.M Prasad, DDS
• Socheat Ouv Pream, L.AC.
• Aida Fagela Prestosa, RPH
• Prohealth Partners a Medical Group
• Napoleon Tolentino Puerto
• Quality of Life Academy
• Marina Quintero, BACHELORS
• Ricardo Quintero, DO

• Diagnostic Radiology Physician in South Gate, CA
• Providers in South Gate, 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 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.