PRIVILEGE DIAGNOSTIC
NPI 1255588273
Psychiatry & Neurology - Diagnostic Neuroimaging in Valley Village, CA

Active since August 20, 2008
12501 CHANDLER BLVD, SUITE 102, VALLEY VILLAGE, CA 91607(818) 980-1171(818) 763-8750 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychiatry & Neurology
  • Diagnostic Neuroimaging

About PRIVILEGE DIAGNOSTIC

This page provides the complete NPI Profile along with additional information for Privilege Diagnostic, a provider established in Valley Village, California operating as a Psychiatry & Neurology, focusing in diagnostic neuroimaging . The healthcare provider is registered in the NPI registry with number 1255588273 assigned on August 2008. The practitioner's primary taxonomy code is 2084D0003X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Privilege Diagnostic. The authorized official of this NPI record is Gregory Davidov (Ceo)

NPI
1255588273 Verify this NPI
Provider Legal Name
KGV EASY LEASING CORP
Other Organization Name
PRIVILEGE DIAGNOSTIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12501 CHANDLER BLVD SUITE 102 VALLEY VILLAGE, CA 91607
Location Phone
(818) 980-1171
Location Fax
(818) 763-8750
Mailing Address
12501 CHANDLER BLVD SUITE 102 VALLEY VILLAGE, CA 91607
Mailing Phone
(818) 980-1171
Mailing Fax
(818) 763-8750
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2008
Last Update Date
07-23-2009
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Diagnostic Neuroimaging

Taxonomy Code
2084D0003X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1293D00000XLaboratories

Physiological Laboratory

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREGORY DAVIDOV

Authorized Official Title
CEO
Authorized Official Phone
(818) 980-1171

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
BX983AMEDICARE PIN (08)CA 
TD052MEDICARE PIN (08)CA 

Reviews for PRIVILEGE DIAGNOSTIC

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Hospice Care, Community Based
12501 CHANDLER BLVD, STE. 105
VALLEY VILLAGE, CA 91607
Hospice Care, Community Based
12501 CHANDLER BLVD, SUITE 105
VALLEY VILLAGE, CA 91607
Non-emergency Medical Transport (VAN)
12501 CHANDLER BLVD, STE 103
VALLEY VILLAGE, CA 91607
Psychologist (Clinical)
12501 CHANDLER BLVD, 102
VALLEY VILLAGE, CA 91607
Psychologist (Clinical)
12501 CHANDLER BLVD, 102
VALLEY VILLAGE, CA 91607
Counselor (Mental Health)
12501 CHANDLER BLVD
VALLEY VILLAGE, CA 91607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255588273, enumerated as an "organization" on August 20, 2008.

The provider is located at 12501 CHANDLER BLVD SUITE 102 VALLEY VILLAGE, CA 91607 and the phone number is (818) 980-1171.

Psychiatry & Neurology with taxonomy code 2084D0003X and a focus in Diagnostic Neuroimaging.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.