Dr. Thomas Andrew Herbold M.D.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

A72292 Issued in CA

Legal business name

DR. THOMAS ANDREW HERBOLD M.D.

Practice address

6325 Topanga Canyon Blvd
Suite 104
Woodland Hills, CA 91367-2006

Phone

(818) 598-0309

Fax

(818) 347-0450

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mike Perez, R.T.

Title

Administrator

Phone

(818) 598-0309

Specialties & licenses 1

Addresses

Other names 1

• WARNER DIAGNOSTIC Doing business as

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1689843823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "SUITE 104",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672006",
            "telephone_number": "818-598-0309",
            "fax_number": "818-347-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "SUITE 104",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672006",
            "telephone_number": "818-598-0309",
            "fax_number": "818-347-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. THOMAS ANDREW HERBOLD M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-598-0309",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "A72292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARNER DIAGNOSTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiology Clinic/Center in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.