NPI Code Details Logo

NPI 1679428759

NPI 1679428759 : NITRON MEDICAL DIAGNOSTICS PC : ENCINO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1679428759
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NITRON MEDICAL DIAGNOSTICS PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/03/2026
-----------------------------------------------------
    Last Update Date     |    03/03/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    15928 VENTURA BLVD STE 206 
-----------------------------------------------------
    City                 |    ENCINO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91436-4477
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-579-5614
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    15928 VENTURA BLVD STE 206 
-----------------------------------------------------
    City                 |    ENCINO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91436-4477
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-579-5614
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CAA
-----------------------------------------------------
    Name                 |     ANA R ASCENCIO 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    213-219-8054
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR0208X
-----------------------------------------------------
    Taxonomy Name        |    Mobile Radiology Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.