DOCTORS DIAGNOSTIC CENTER OF THE VALLEY (NPI# 1073721502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073721502 |
| Entity Type | Organization |
| Organization Name | DOCTORS DIAGNOSTIC CENTER OF THE VALLEY |
| Practice Address |
14148 Magnolia Blvd Suite 102 Sherman Oaks CA 91423-6413 |
| Practice Telephone | 8189900880 |
| Practice Fax Number | 8189900439 |
| Mailing Telephone | 8189900880 |
| Mailing Fax Number | 8189900439 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JIHAD AL IMAMI (PRESIDENT) |
| Authorized Official Telephone | 8189900880 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | CA | Laboratories |
| Street Address |
14148 MAGNOLIA BLVD SUITE 102 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91423-6413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992815013 | Charisse Kristine P Vasquez | Physical Therapist | 14148 Magnolia Blvd, Ste 105 Aquatic Physical Therapy and Rehab, Sherman Oaks, CA 91423 | 2006-08-30 |
| 1043498207 | Mary Antoniette Detuyatu Cruz | Physical Therapist | 14148 Magnolia Blvd, Suite 105, Sherman Oaks, CA 91423-6413 | 2008-02-08 |
| 1649316449 | Agm Diagnostics Center Inc | Physiological Laboratory | 14148 Magnolia Blvd, Suite 107, Sherman Oaks, CA 91423-6413 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790349652 | Emily Luu | Physician Assistant | 4312 Woodman Ave Ste 102, Sherman Oaks, CA 91423 | 2019-04-25 |
| 1821568478 | Allen Tae Chung | Pharmacy | 13331 Moorpark St Apt 333, Sherman Oaks, CA 91423 | 2018-11-27 |
| 1790277267 | Sheridan Kesselman | Counselor | 14272 Valley Vista Blvd., Sherman Oaks, CA 91423 | 2018-05-31 |
| 1033617048 | San Fernando Valley Treatment Ctr.-anxiety Disorders | Social Worker | 13701 Riverside Dr. #508, Sherman Oaks, CA 91423 | 2018-01-24 |
| 1417468737 | Ashford Dental Sherman Oaks | Dentist | 13327 Moorpark St, Sherman Oaks, CA 91423 | 2017-10-13 |
| 1558883470 | Amedi Home Health Care Inc | Home Health | 14242 Ventura Blvd Suite 207, Sherman Oaks, CA 91423 | 2017-07-12 |
| 1902341183 | Oaks Community Pharmacy Inc | Pharmacy | 13322 Riveside Dr, Sherman Oaks, CA 91423 | 2016-12-27 |
| 1558760926 | Baharak Ghaffarzadegan | Dentist | 4346 Matilija Ave #107, Sherman Oaks, CA 91423 | 2014-08-21 |
| 1972947760 | Gwen S. Barry | Marriage & Family Therapist | 13400 Riverside Drive Suite 318, Sherman Oaks, CA 91423 | 2013-04-23 |
| 1043552250 | Community Care Consultants | Social Worker | 14401 Hartsook #315, Sherman Oaks, CA 91423 | 2013-03-26 |
| Find all providers in zip 91423 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902175409 | Liberty Brothers Inc | Physiological Laboratory | 15137 Hartsook St, Sherman Oaks, CA 91403-1207 | 2011-12-29 |
| 1457399172 | Medexpress Diagnostic Inc. | Physiological Laboratory | 5170 Sepulveda Blvd, 280, Sherman Oaks, CA 91403-1171 | 2006-06-03 |
| 1003135674 | Ba Imaging Group | Physiological Laboratory | 14622 Ventura Blvd, Suite # 317, Sherman Oaks, CA 91403-3600 | 2010-05-21 |
| 1649316449 | Agm Diagnostics Center Inc | Physiological Laboratory | 14148 Magnolia Blvd, Suite 107, Sherman Oaks, CA 91423-6413 | 2007-01-29 |
| 1841266459 | Insight Health Corp | Physiological Laboratory | 4911 Van Nuys Blvd, Ste 106, Sherman Oaks, CA 91403-1716 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508581 | Alivecor Labs LLC | Physiological Laboratory | 444 Castro St, Mountain View, CA 94041-2017 | 2020-11-02 |
| 1821604265 | Arvia Diagnostics, Inc. | Physiological Laboratory | 356 E Olive Ave Ste 108, Burbank, CA 91502-1261 | 2020-09-21 |
| 1003429945 | Akaal Organics LLC | Physiological Laboratory | 1730 Canal Ave, Long Beach, CA 90813-1223 | 2020-08-29 |
| 1447803861 | Marin Petct Imaging, LLC | Physiological Laboratory | 4000 Civic Center Dr Ste 110, San Rafael, CA 94903-5232 | 2019-07-24 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1598238834 | Laboratory Environment LLC | Physiological Laboratory | 1436 S La Cienega Blvd Ste 208, Los Angeles, CA 90035-3761 | 2019-01-09 |
| 1508336371 | Ultratech Services | Physiological Laboratory | 118 W Stocker St # 3, Glendale, CA 91202-2509 | 2018-12-04 |
| 1710457015 | Peak Pulmonary Services LLC | Physiological Laboratory | 1447 Blue Jay Ct, Tracy, CA 95376-8353 | 2018-11-29 |
| 1306313648 | O.n. Diagnostics, LLC | Physiological Laboratory | 2150 Shattuck Ave Ste 610, Berkeley, CA 94704-1347 | 2018-10-24 |
| 1447731948 | Fountain Valley Regional Sleep Center LLC | Physiological Laboratory | 24953 Paseo De Valencia Ste 3a, Laguna Hills, CA 92653-4342 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | SHERMAN OAKS |
| Zip Code | 91423 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.