Juno Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A70516 Issued in CA

Legal business name

JUNO MEDICAL GROUP

Practice address

6741 Van Nuys Blvd
Suite 203K
Van Nuys, CA 91405-4630

Phone

(818) 299-3412

Fax

(818) 988-9804

NPI assigned

Dec 3, 2009

Organization subpart

No

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

Authorized official

Name

John A Uyanne, M.D.

Title

President

Phone

(818) 299-3412

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1447588306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 VAN NUYS BLVD",
            "address_2": "SUITE 203K",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054630",
            "telephone_number": "818-299-3412",
            "fax_number": "818-988-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 VAN NUYS BLVD",
            "address_2": "SUITE 203K",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054630",
            "telephone_number": "818-299-3412",
            "fax_number": "818-988-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "UYANNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-299-3412",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A70516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.