ENDOVASCULAR ASSOCIATES MEDICAL GROUP, INC (NPI# 1659764744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659764744 |
Entity Type | Organization |
Organization Name | ENDOVASCULAR ASSOCIATES MEDICAL GROUP, INC |
Practice Address |
10866 Wilshire Blvd Suite 400-278 Los Angeles CA 90024-4300 |
Practice Telephone | 3100000000 |
Enumeration Date | 2015-03-12 |
Last Update Date | 2016-03-04 |
Authorized Official Name | JILBERT ERADAT (TREASURER) |
Authorized Official Telephone | 3100000000 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
FNP545028 | CA | Allopathic & Osteopathic Physicians |
Street Address |
10866 WILSHIRE BLVD SUITE 400-278 |
City | LOS ANGELES |
State | CA |
Zip Code | 90024-4300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083927115 | Jilbert Eradat | Radiology | 10866 Wilshire Blvd, Suite 400 - Pmb 278, Los Angeles, CA 90024-4300 | 2010-07-19 |
1073919148 | Real Appeal, Inc. | Point of Service | 10866 Wilshire Blvd, Suite 400, Los Angeles, CA 90024-4300 | 2014-11-17 |
1487076170 | Providence Community Services | Social Worker | 10866 Wilshire Blvd, 4th Floor, Los Angeles, CA 90024-4300 | 2014-01-14 |
1740355080 | Russell Kussman | Legal Medicine | 10866 Wilshire Blvd, Ste. 1470, Los Angeles, CA 90024-4300 | 2006-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710523071 | World of Health Therapy Inc | Behavioral Analyst | 1539 Woodruff Avenue, Apartment 304, Los Angeles, CA 90024 | 2019-11-21 |
1063988335 | Formation Inc | Nursing Care | 1611 Westwood Blvd, Los Angeles, CA 90024 | 2018-10-15 |
1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
Find all providers in zip 90024 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
1801138151 | Noah A Brauner | Radiology | 1200 N State Street, D&t 3d321, Los Angeles, CA 90033 | 2013-03-25 |
1346508827 | Frank Hao | Radiology | 11301 Wilshire Blvd # 114, Los Angeles, CA 90073-1003 | 2012-05-02 |
1578882965 | Pacific Vascucare, Inc. | Radiology | 1660 W 3rd St, Los Angeles, CA 90017-1138 | 2010-05-25 |
1841348711 | Ata Daniel Rezvanpour | Radiology | 6041 Cadillac Ave., Los Angeles, CA 90034-1702 | 2007-01-08 |
1730649120 | Elizabeth Herzog | Radiology | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2019-03-21 |
1902332471 | Peter Hu | Radiology | 1200 N. State Street, D&t 3d321, Los Angeles, CA 90033 | 2017-05-03 |
1982135315 | Shimwoo Lee | Radiology | 757 Westwood Plz Ste 1638, Los Angeles, CA 90095-2302 | 2017-03-27 |
1366981581 | Ali Golshan Md Inc | Radiology | 11633 San Vicente Blvd Ste 240, Los Angeles, CA 90049-6513 | 2017-02-21 |
1891140844 | Brian Boa-yen Ng | Radiology | 1200 N State St, Los Angeles, CA 90033-1029 | 2016-04-27 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90024 |
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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.