Active NPI
Oakhurst Diagnostics, Inc
- Radiologic Technologist
- Beverly Hills, CA
National Provider Identifier
1982900809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 20457
- Legal business name
- OAKHURST DIAGNOSTICS, INC
- Practice address
- 9150 Wilshire Blvd
250
Beverly Hills, CA 90212 - Phone
- (310) 271-9969
- Fax
- (310) 271-9575
- NPI assigned
- Feb 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Tannenbaum
- Title
- Ceo
- Phone
- (310) 271-9969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 20457 | CA | Primary |
Addresses
Primary practice location
9150 Wilshire Blvd
250
Beverly Hills, CA 90212
Mailing address
9150 Wilshire Blvd
250
Beverly Hills, CA 90212
Phone (310) 271-9969
National Provider Directory
National Provider DirectoryLocations
9150 Wilshire Blvd
Ste 250
Beverly Hills, CA 90212
Phone (310) 271-9968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344470400000",
"number": "1982900809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 WILSHIRE BLVD",
"address_2": "250",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90212",
"telephone_number": "310-271-9969",
"fax_number": "310-271-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 WILSHIRE BLVD",
"address_2": "250",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90212",
"telephone_number": "310-271-9969",
"fax_number": "310-271-9575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKHURST DIAGNOSTICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-10",
"last_updated": "2012-08-09",
"status": "A",
"authorized_official_last_name": "TANNENBAUM",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-271-9969",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": "CA",
"license": "20457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.