DR. VINSON LOUIS UYTANA


Address: 5422 Homeside Ave, Los Angeles, CA 90016-3712
Phone: 9525951100

DR. VINSON LOUIS UYTANA (NPI# 1275515611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275515611
Entity Type Individual
Full Name DR. VINSON LOUIS UYTANA
Credential M.D.
Practice Address 5422 Homeside Ave
Los Angeles
CA 90016-3712
Mailing Address 11995 Singletree Ln
Suite 500
Eden Prairie
MN 55344-5347
Practice Telephone 9525951100
Practice Fax Number 6122944903
Mailing Telephone 9525951301
Mailing Fax Number 6122944903
Enumeration Date 2005-11-18
Last Update Date 2015-06-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085N0700X Radiology
Specialization: Neuroradiology
A75941 CA Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
042-0011719 VT Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
A75941 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 5422 HOMESIDE AVE
City LOS ANGELES
State CA
Zip Code 90016-3712

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

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1043726367 Perch Yetenikyan, Inc. Radiology 5465 Santa Monica Blvd Ste 101, Los Angeles, CA 90029-2339 2017-12-22
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Competitor

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City LOS ANGELES
Zip Code 90016

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Dataset Information

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.

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