Radiology Disc of Miracle Mile Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RADIOLOGY DISC OF MIRACLE MILE INC

Practice address

16661 Ventura Blvd Ste 100
Encino, CA 91436-1922

Phone

(818) 986-3472

Fax

(818) 986-2129

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Mozaffar Rezvonpour

Title

Ceo

Phone

(818) 986-3472

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ata Daniel Rezvanpour, M.D.

  • Vascular & Interventional Radiology Physician
  • Los Angeles, CA
  • NPI 1841348711
  NPD (past)

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1740530765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361922",
            "telephone_number": "818-986-3472",
            "fax_number": "818-986-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361922",
            "telephone_number": "818-986-3472",
            "fax_number": "818-986-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY DISC OF MIRACLE MILE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "REZVONPOUR",
        "authorized_official_first_name": "MOZAFFAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-986-3472"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Tyler Rabotnick
• Rachel McNally Lac.
• Amir Elijah Rad, M.D.
• Radiant Reclamation Family Therapy Inc
• Radiology Disc of Encino, Inc.
• Radmand Professional Dental Group
• Radmand Professional Dental Group
• Nadja Radmanovic
• Radnia Chiropractic Clinic Inc.
• Nassir Radnia, DC

• Diagnostic Radiology Physician in Encino, CA
• Providers in Encino, 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 Sep 18, 2012; 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.