VMT Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

PT17713 Issued in CA

Legal business name

VMT GROUP INC

Practice address

12826 Victory Blvd
Suite 5
North Hollywood, CA 91606-3013

Phone

(818) 670-8990

Fax

(818) 670-8991

NPI assigned

May 7, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Arie Koren, RPT

Title

Ceo

Phone

(818) 670-8990

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1184034464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD",
            "address_2": "SUITE 5",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063013",
            "telephone_number": "818-670-8990",
            "fax_number": "818-670-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD",
            "address_2": "SUITE 5",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063013",
            "telephone_number": "818-670-8990",
            "fax_number": "818-670-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "KOREN",
        "authorized_official_first_name": "ARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-670-8990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "PT17713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in North Hollywood, CA
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• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.