Organization Active NPI

Val P Shulman

  • Mammography Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1780808097
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
A38820 Issued in CA
Legal business name
VAL P SHULMAN
Practice address
7559 Santa Monica Blvd # 200
Los Angeles, CA 90046-6406
Phone
(323) 878-2570
Fax
(323) 878-2574
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Valery P Shulman, MD
Title
Owner
Phone
(323) 878-2570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X A38820 CA Primary

Addresses

Primary practice location

7559 Santa Monica Blvd # 200
Los Angeles, CA 90046-6406

Mailing address

7559 Santa Monica Blvd # 200
Los Angeles, CA 90046-6406
Phone (323) 878-2570

Other identifiers 2

IdentifierTypeStateIssuer
GR0056270MedicaidCA
204545OtherCAFDA #

Other names 1

  • West Hollywood Mammography Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0929529Val P Shulman MD Inc7559 Santa Monica Blvd Ste 201, Los Angeles, CA 90046Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory

Locations

7559 Santa Monica Blvd
West Hollywood, CA 90046
Phone (323) 878-2555

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1780808097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7559 SANTA MONICA BLVD # 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900466406",
            "telephone_number": "323-878-2570",
            "fax_number": "323-878-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 SANTA MONICA BLVD # 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900466406",
            "telephone_number": "323-878-2570",
            "fax_number": "323-878-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL P SHULMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "VALERY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-878-2570",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "CA",
            "license": "A38820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA #",
            "identifier": "204545",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Hollywood Mammography",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.