Larchmont Radiology

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LARCHMONT RADIOLOGY

Practice address

2010 Wilshire Blvd Ste 408
Los Angeles, CA 90057-3598

Phone

(213) 483-5953

Fax

(213) 484-2984

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Miss Sara Gonzalez

Title

Credentials

Phone

(213) 483-5953

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952527202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 WILSHIRE BLVD STE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573598",
            "telephone_number": "213-483-5953",
            "fax_number": "213-484-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WILSHIRE BLVD STE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573598",
            "telephone_number": "213-483-5953",
            "fax_number": "213-484-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCHMONT RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CREDENTIALS",
        "authorized_official_telephone_number": "213-483-5953",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ70891Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larchmont Family Dentists - Kezian Dental Group
• Larchmont Medical Center and Urgent Care PC
• Larchmont Medical Radiology Inc.
• Larchmont Optometrics, Inc
• Larchmont Pediatrics, Inc.
• Larchmont Surgery Center, LLC
• Larchmont Traditional Medicine
• Larchmont Village Dental Specialty Center, Inc.
• Mary Zizapezemi Lardge
• Christina Lares, MPH, MA, DOULA

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.