Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Diagnostic Medical Group

Organization Physical Medicine & Rehabilitation Physician · NPI 1013131796

Innovative Diagnostic Medical Group is a Physical Medicine & Rehabilitation Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1801 Century Park E Ste 1040
Los Angeles, CA 90067
Phone: (310) 553-7980
Fax: (310) 943-3279
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physiological Laboratory (primary) Taxonomy 293D00000X · Licence A44107 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A106704 (CA)

Record details

NPI number1013131796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sean Ataee — Medical Director/Owner · (310) 553-7960
NPI enumeratedApril 12, 2007
Last updated in NPPESDecember 16, 2010
Mailing address1801 Century Park East, Suite 1040, Los Angeles, CA 90067

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