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NPI Code Detail

MEDICARE: HIGHWAYSQUARED INC

MEDICARE: HIGHWAYSQUARED INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NN0400XNeurology Chiropractor
2111NR0200XRadiology Chiropractor
32085R0202XDiagnostic Radiology Physician
42085R0204XVascular & Interventional Radiology Physician
52085U0001XDiagnostic Ultrasound Physician
6213ER0200XRadiology Podiatrist
72084V0102XVascular Neurology Physician

General Provider Information

NPI Number : 1881753945
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIGHWAYSQUARED INC
Provider Business Mailing Address
First Line : 9911 W PICO BLVD
Second Line : STE 630
City : LOS ANGELES
State : CA
Zip : 90035-2703
Country : US
Telephone Number : 310-553-5717
Fax Number : 310-553-5839
Provider Business Practice Location Address
First Line : 9911 W PICO BLVD
Second Line : STE 630
City : LOS ANGELES
State : CA
Zip : 90035-2703
Country : US
Telephone Number : 310-553-5717
Fax Number : 310-553-5839
Authorized Official
Title or Position : CEO
Name : MR. JONATHAN ASHER YAKER
Credential :
Telephone Number : 800-967-3309
Provider Enumeration Date : 12/06/2006
Last Update Date : 09/11/2025

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Directions to “HIGHWAYSQUARED INC ” Practice Location

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