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WESTERN RADIOLOGIC MEDICAL GROUP
NPI 1700979390
Radiology - Diagnostic Radiology in Marina Del Rey, CA

Active since October 02, 2006
4640 ADMIRALTY WAY, SUITE 102, MARINA DEL REY, CA 90292(310) 836-1574(310) 836-6925 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Western Radiologic Medical Group NPPES

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

WESTERN RADIOLOGIC MEDICAL GROUP (NPI 1700979390) is a healthcare organization registered as a diagnostic radiology in Marina Del Rey, California and active in the NPI registry since October 2006. The organization lists John N. Loizeaux-witte, President, as its authorized official.

NPPES Registry Identity

NPI1700979390
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameWESTERN DIAGNOSTIC & THERAPEUTIC RADIOLOGY MEDICAL GROUP, INC.
Location Address4640 ADMIRALTY WAY, SUITE 102Marina Del Rey, CA 90292-6621
Mailing Address4640 Admiralty Way, Suite 102Marina Del Rey, CA 90292-6621 · (310) 836-1574 · Fax (310) 836-6925
Phone(310) 836-1574
Fax(310) 836-6925
Organization SubpartNo
Authorized OfficialJohn N. Loizeaux-wittePresident · (310) 836-1574
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 14, 2012
✔ NPI 1700979390 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.
4640 ADMIRALTY WAY, Marina Del Rey, CA 90292
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Other Names 1

Doing Business AsWestern Radiologic Medical Group

Other Identifiers 6

MedicaidGR0017071CA
MedicaidGR0017076CA
Medicare PINW13956CA
MedicaidGR0017072CA
Medicare PINHW13956CA
Medicare PINW10112ACA

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.

HOLLY NICOLE MORGAN APRN
Nurse Practitioner (Family)
4640 ADMIRALTY WAY
MARINA DEL REY, CA 90292
Los Angeles County (888) 880-3451
DR. MARI SIAN DAVIES PHD
Clinical Neuropsychologist
4640 ADMIRALTY WAY, SUITE 500
MARINA DEL REY, CA 90292
Los Angeles County (650) 479-6609
KATHERINE MARIE BOSWELL MFT
Marriage & Family Therapist
4640 ADMIRALTY WAY, SUITE 318
MARINA DEL REY, CA 90292
Los Angeles County (310) 658-3158
SHEILA HERNANDEZ NP
Nurse Practitioner (Family)
4640 ADMIRALTY WAY
MARINA DEL REY, CA 90292
Los Angeles County (619) 830-4278
ESSE CARE SURGERY CALIFORNIA PC
Obstetrics & Gynecology
4640 ADMIRALTY WAY
MARINA DEL REY, CA 90292
Los Angeles County (914) 546-3461
DEL REY SURGERY CENTER, INC.
Clinic/Center (Ambulatory Surgical)
4640 ADMIRALTY WAY, STE. 1020
MARINA DEL REY, CA 90292
Los Angeles County (310) 305-1020
DEL REY SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
4640 ADMIRALTY WAY, SUITE 1020
MARINA DEL REY, CA 90292
Los Angeles County (310) 305-1020
DR. LAURA A THOMPSON M.D.
Radiology (Nuclear Radiology)
4640 ADMIRALTY WAY, SUITE 102
MARINA DEL REY, CA 90292
Los Angeles County (310) 836-1574

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 Western Diagnostic & Therapeutic Radiology Medical Group, Inc.'s NPI number?

The NPI number for Western Diagnostic & Therapeutic Radiology Medical Group, Inc. is 1700979390. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Western Radiologic Medical Group.

Where is Western Diagnostic & Therapeutic Radiology Medical Group, Inc. located?

Western Diagnostic & Therapeutic Radiology Medical Group, Inc. is located at 4640 Admiralty Way Suite 102, Marina Del Rey, CA 90292. The listed phone number is (310) 836-1574.

What is Western Diagnostic & Therapeutic Radiology Medical Group, Inc.'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 Western Diagnostic & Therapeutic Radiology Medical Group, Inc. was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.