# KGV EASY LEASING CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRIVILEGE DIAGNOSTIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255588273
- **Authorized official:** GREGORY DAVIDOV (CEO)
- **Authorized official phone:** (818) 980-1171

## Contact information

- **Practice address:** 12501 CHANDLER BLVD, SUITE 102, VALLEY VILLAGE, CA 91607-1941
- **Practice address phone:** (818) 980-1171
- **Practice address fax:** (818) 763-8750
- **Mailing address:** 12501 CHANDLER BLVD, SUITE 102, VALLEY VILLAGE, CA 91607-1941
- **Mailing address phone:** (818) 980-1171
- **Mailing address fax:** (818) 763-8750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084D0003X | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | — | — | Yes |
| 293D00000X | Physiological Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 08/20/2008
- **Last updated:** 07/23/2009