GARDENA RADIOLOGY MEDICAL GROUP
NPI 1174717912
Radiology - Diagnostic Radiology in Gardena, CA

Active since September 05, 2007
1145 W REDONDO BEACH BLVD, GARDENA, CA 90247(310) 836-1574 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gardena Radiology Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARDENA RADIOLOGY MEDICAL GROUP (NPI 1174717912) is a healthcare organization registered as a diagnostic radiology in Gardena, California and active in the NPI registry since September 2007. The organization lists John N. Loizeaux-witte, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174717912
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGARDENA RADIOLOGY MEDICAL GROUP
Location Address1145 W REDONDO BEACH BLVDGardena, CA 90247-3511
Mailing AddressPo Box 17959Los Angeles, CA 90017-0959 · (213) 481-0584 · Fax (213) 481-0108
Organization SubpartYesParent: Western Diagnostic & Therapeutic Radiology Medical Group
Authorized OfficialJohn N. Loizeaux-witteCeo · (310) 836-1574
Enumeration DateSeptember 5, 2007
Last NPPES UpdateApril 24, 2008
NPI 1174717912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1145 W REDONDO BEACH BLVD, Gardena, CA 90247

Other Identifiers 2

MedicaidGR0017071CA
Medicare PINHW8434CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1145 W REDONDO BEACH BLVD
GARDENA, CA 90247
Occupational Therapist
1145 W REDONDO BEACH BLVD
GARDENA, CA 90247
Social Worker (Clinical)
1145 W REDONDO BEACH BLVD
GARDENA, CA 90247
General Acute Care Hospital
1145 W REDONDO BEACH BLVD
GARDENA, CA 90247
Anesthesiology
1145 W REDONDO BEACH BLVD
GARDENA, CA 90247
Physical Therapy Assistant
1145 W REDONDO BEACH BLVD
GARDENA, CA 90247
Emergency Medicine
1145 W REDONDO BEACH BLVD
GARDENA, CA 90247
Internal Medicine
1145 W REDONDO BEACH BLVD
GARDENA, CA 90247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gardena Radiology Medical Group's NPI number?

The NPI number for Gardena Radiology Medical Group is 1174717912. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is Gardena Radiology Medical Group located?

Gardena Radiology Medical Group is located at 1145 W Redondo Beach Blvd, Gardena, CA 90247. The listed phone number is (310) 836-1574.

What is Gardena Radiology Medical Group's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Gardena Radiology Medical Group was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.