San Fernando Valley Regional Pet Center LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

SAN FERNANDO VALLEY REGIONAL PET CENTER LLC

Practice address

6855 Noble Ave
Van Nuys, CA 91405-3729

Phone

(818) 994-6178

Fax

(818) 994-6739

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian G Drazba

Title

Senior V.P. & Chief Accounting Ofcr

Phone

(949) 282-6000

Specialties & licenses 1

Addresses

Other names 1

• INSIGHT IMAGING-San Fernando Valley PET/CT Doing business as

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1285699728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57174",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "949-282-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 NOBLE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053729",
            "telephone_number": "818-994-6178",
            "fax_number": "818-994-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FERNANDO VALLEY REGIONAL PET CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "DRAZBA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SENIOR V.P. & CHIEF ACCOUNTING OFCR",
        "authorized_official_telephone_number": "949-282-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSIGHT IMAGING-San Fernando Valley PET/CT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Fernando Valley Community Mental Health Center, Inc.
• San Fernando Valley Community Mental Health Center, Inc.
• San Fernando Valley Community Mental Health Center, Inc.
• San Fernando Valley Community Mental Health Center, Inc.
• San Fernando Valley Counseling Center
• Robert San Roman
• Eliza San Vicente
• Sanani Medcorp
• Diana Itzel Sanchez Castillo
• Carla Itzel Sanchez Cruz

• Physiological Laboratory in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.