Imedventures, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

IMEDVENTURES, LLC

Doing business as

iMedRecovery

Practice address

2477 Fletcher Dr
Suite C
Los Angeles, CA 90039-2801

Phone

(424) 781-4062

NPI assigned

Nov 19, 2015

Last updated

Jul 7, 2016By 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

Rishi Khatri, MD/JD

Title

Owner

Phone

(310) 896-5183

Specialties & licenses 1

Addresses

Other names 1

• iMedRecovery Doing business as

Locations

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1285008862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 LOS FELIZ BLVD",
            "address_2": "#17",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272355",
            "telephone_number": "310-896-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 FLETCHER DR",
            "address_2": "SUITE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392801",
            "telephone_number": "424-781-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMEDVENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "KHATRI",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-896-5183",
        "authorized_official_credential": "MD/JD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iMedRecovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.