Robert Mark Agulnek, M.D.
Individual provider Active NPI Diagnostic Ultrasound Physician · Sherman Oaks, CA
NPI 1780701045 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1780701045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Ultrasound Physician 2085U0001X
- License
- G24127 (CA)
- Practice address
- 4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702 - Phone
- (818) 907-4530
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24127 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Imaging Medical Group | Body Imaging | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | G24127 | CA | |
| Neuroradiology Physician | 2085N0700X | G24127 | CA | |
| Nuclear Radiology Physician | 2085N0904X | G24127 | CA | |
| Pediatric Radiology Physician | 2085P0229X | G24127 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | G24127 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | G24127 | CA | |
| Diagnostic Ultrasound Physician | 2085U0001X | G24127 | CA | Yes |
Addresses
Primary practice location
4929 Van Nuys Blvd
Sherman Oaks, CA 91403-1702
Mailing address
15614 Royal Ridge Rd
Sherman Oaks, CA 91403-4207
Phone (818) 990-9052
Other providers in Sherman Oaks, CA
- Alejandro Aguilar
- Astraea Aguilar
- Joshua Daniel Aguilar
- Carlos Armando Aguirre
- Elouise Aguirre
- Melissa Annette Ahamad
- Malia R. Aharoni
- Mike M. Ahmadshahi
- Nancy N Ahn
- AIDS Healthcare Foundation
All providers in Sherman Oaks, CA · Diagnostic Ultrasound Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.