Innovative Diagnostic Medical Group
LBN: Innovative Diagnostic Medical Group
Innovative Diagnostic Medical Group is an health care organization with primary practice located at 1801 Century Park East Suite 1040, Los Angeles CA 90067. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Laboratories / Physiological Laboratory. Laboratories / Physiological Laboratory is the primary health care specialty.
Innovative Diagnostic Medical Group can be contacted via phone (310) 553-7980, or through Ataee, Sean via phone (310) 553-7960.
Contact Information
Primary practice address
1801 Century Park East Suite 1040
Los Angeles CA 90067
Phone: (310) 553-7980
Fax: (310) 943-3279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | A106704 | California |
| Laboratories / Physiological Laboratory | 293D00000X | A44107 | California |
Profile Details
| NPI number | 1013131796 |
|---|---|
| LBN Legal business name | Innovative Diagnostic Medical Group |
| DBA Doing business as | |
| Authorized official | Ataee, Sean Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Dec 16th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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