Igen Medical, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

IGEN MEDICAL, INC.

Practice address

7012 Reseda Blvd.
Ste. a
Reseda, CA 91335-4206

Phone

(818) 776-1171

Fax

(818) 776-1191

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Edward N. Opoku, D.O.

Title

President

Phone

(818) 776-1171

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1346594454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD.",
            "address_2": "STE. F",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354206",
            "telephone_number": "818-776-1171",
            "fax_number": "818-776-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD.",
            "address_2": "STE. A",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354206",
            "telephone_number": "818-776-1171",
            "fax_number": "818-776-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGEN MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "OPOKU",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-776-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fortunate Hove
• Brian James Huth, DC
• Betty Huynh, NP
• Christopher Huynh, M.D.
• Hwiebeng & Lianien Tjiong DDS
• Faith-Rheanna Ignacio
• Mary Kathleen Igo, M.D.
• Edidiong Nsidibe Ikpe, M.D.
• Nicole Deotoy Ilagan
• Ilya M Rachman MD Inc

• General Practice Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.