NPIMap

Organization Active NPI

Ace Medical Group and Diagnostic Imaging Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1700178605
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ACE MEDICAL GROUP AND DIAGNOSTIC IMAGING INC
Practice address
3875 Wilshire Blvd
Suite 400
Los Angeles, CA 90010-3205
Phone
(213) 385-4535
Fax
(213) 385-0204
NPI assigned
May 10, 2011
Last updated
May 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. Hooshang Tabibian, M.D.
Title
Owner
Phone
(213) 385-4535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

3875 Wilshire Blvd
Suite 400
Los Angeles, CA 90010-3205

Mailing address

3875 Wilshire Blvd
Suite 400
Los Angeles, CA 90010-3205
Phone (213) 385-4535

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1700178605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 WILSHIRE BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103205",
            "telephone_number": "213-385-4535",
            "fax_number": "213-385-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 WILSHIRE BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103205",
            "telephone_number": "213-385-4535",
            "fax_number": "213-385-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE MEDICAL GROUP AND DIAGNOSTIC IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "TABIBIAN",
        "authorized_official_first_name": "HOOSHANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-385-4535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "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 May 10, 2011; 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.