OrganizationActive
Institute of Diagnostic Medicine
NPI 1942369715 · Electroneurodiagnostic Specialist/Technologist · Tarzana, CA
Provider details
- NPI number
- 1942369715
- Entity type
- Organization
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Khashayar Pourmand, President of Corporation(310) 592-5067
- License
- 704 (MA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
6230 Reseda Blvd Apt 213
Tarzana, CA 91335-6930
Phone: (310) 592-5067
Approximate (ZIP-level) locationGet directions
Mailing address
6230 Reseda Blvd Apt 213
Tarzana, CA 91335-6930
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2007-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.