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

Western Diagnostic & Therapeutic Radiology Medical Group, Inc

Organization Diagnostic Radiology Physician · NPI 1700979390

Western Diagnostic & Therapeutic Radiology Medical Group, Inc is a Diagnostic Radiology Physician in Marina del Rey, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4640 Admiralty Way Ste 102
Marina del Rey, CA 90292-6621
Phone: (310) 836-1574
Fax: (310) 836-6925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X (CA)

Record details

NPI number1700979390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Loizeaux-Witte — President · (310) 836-1574
Other names Western Radiologic Medical Group
NPI enumeratedOctober 2, 2006
Last updated in NPPESJune 14, 2012
Mailing address4640 Admiralty Way, Suite 102, Marina Del Rey, CA 90292-6621

Other providers in Marina del Rey