Innovative Diagnostic Medical Group
NPI 1013131796ActiveOrganization· Physiological Laboratory· Los Angeles, CA
Physiological Laboratory in Los Angeles, California, registered in NPPES in April 2007. The authorized official on file is Sean Ataee, M.D., Medical Director/Owner.
Overview
| NPI | 1013131796 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2007 |
| Last updated in NPPES | Dec 16, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | A44107 | CA |
| Physical Medicine & Rehabilitation | 208100000X | A106704 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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