WESTERN IMAGING MARINA DEL REY INC (NPI# 1427593805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427593805 |
| Entity Type | Organization |
| Organization Name | WESTERN IMAGING MARINA DEL REY INC |
| Practice Address |
4640 Admiralty Way Suite 102 Marina Del Rey CA 90292-6621 |
| Practice Telephone | 3107364395 |
| Mailing Telephone | 3107364395 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | ROB PETZOLD (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3107364395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
4640 ADMIRALTY WAY SUITE 102 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932153731 | Mahua Biswas | Radiology | 4640 Admiralty Way, Suite 102, Marina Del Rey, CA 90292-6629 | 2006-05-19 |
| 1376097790 | Del Rey Sinus & Allergy Institute Inc | Otolaryngology | 4640 Admiralty Way, Suite #718, Marina Del Rey, CA 90292-6621 | 2016-08-15 |
| 1508293853 | Admiralty Surgery Center, Inc | Clinic/Center | 4640 Admiralty Way, Suite 718b, Marina Del Rey, CA 90292-6621 | 2013-10-02 |
| 1558794826 | Stephanie Noelle Francis | Marriage & Family Therapist | 4640 Admiralty Way, Suite 500, Marina Del Rey, CA 90292-6621 | 2013-08-09 |
| 1528308459 | Marina View Surgery Center | Clinic/Center | 4640 Admiralty Way, Suite 1002, Marina Del Rey, CA 90292-6621 | 2013-03-01 |
| 1104198514 | Mari Sian Davies | Clinical Neuropsychologist | 4640 Admiralty Way, Suite 500, Marina Del Rey, CA 90292-6621 | 2012-01-31 |
| 1639459654 | Farhad Sigari Md Facs PC | Otolaryngology | 4640 Admiralty Way, 718, Marina Del Rey, CA 90292-6621 | 2011-08-22 |
| 1508161167 | Michelle Z Wang Md PC | Anesthesiology | 4640 Admiralty Way, Marina Del Rey, CA 90292-6621 | 2011-01-12 |
| 1295037810 | Thomas Michael Hood | Dentist | 4640 Admiralty Way, Ste. 714, Marina Del Rey, CA 90292-6621 | 2010-12-02 |
| 1528299989 | Focus Medical Imaging | Radiology | 4640 Admiralty Way, Ste. 102, Marina Del Rey, CA 90292-6621 | 2009-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
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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.