Innovative Diagnostic Medical Group
NPI #1013131796 in Los Angeles, California
Provider Information
- NPI Number
- 1013131796
- Entity Type
- Organization
- Organization Name
- Innovative Diagnostic Medical Group
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Dec 16, 2010
Practice Location
- Address
- 1801 CENTURY PARK EAST
- Address 2
- SUITE 1040
- City
- Los Angeles
- State
- California
- ZIP Code
- 90067
- Phone
- (310) 553-7980
Authorized Official
- Name
- SEAN ATAEE, M.D.
- Title
- MEDICAL DIRECTOR/OWNER
- Phone
- (310) 553-7960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
| Physiological Laboratory |
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