Medical Resource Center of Tarzana, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A8083 Issued in CA

Legal business name

MEDICAL RESOURCE CENTER OF TARZANA, INC.

Practice address

18445 Vanowen St
Reseda, CA 91335-5324

Phone

(818) 708-8484

Fax

(818) 881-7451

NPI assigned

Aug 26, 2009

Last updated

Aug 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Salem Harake, MD

Title

Ceo

Phone

(818) 708-8484

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1275766156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18445 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355324",
            "telephone_number": "818-708-8484",
            "fax_number": "818-881-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18445 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355324",
            "telephone_number": "818-708-8484",
            "fax_number": "818-881-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL RESOURCE CENTER OF TARZANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "HARAKE",
        "authorized_official_first_name": "SALEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-708-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A80782",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.