Institute of Diagnostic Medicine

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

704 Issued in MA

Legal business name

INSTITUTE OF DIAGNOSTIC MEDICINE

Practice address

6230 Reseda Blvd Apt 213
Tarzana, CA 91335-6930

Phone

(310) 592-5067

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Khashayar Pourmand, R.NCS.T.

Title

President of Corporation

Phone

(310) 592-5067

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1942369715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 RESEDA BLVD APT 213",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913356930",
            "telephone_number": "310-592-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 RESEDA BLVD APT 213",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913356930",
            "telephone_number": "310-592-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF DIAGNOSTIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "POURMAND",
        "authorized_official_first_name": "KHASHAYAR",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "310-592-5067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.NCS.T."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "MA",
            "license": "704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Electroneurodiagnostic Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.