Active NPI
Candu Lab Services Inc
- Endocrinology, Diabetes & Metabolism Physician
- Van Nuys, CA
National Provider Identifier
1629218755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- A35493
- Legal business name
- CANDU LAB SERVICES INC
- Practice address
- 15904 Strathern St
Suite 19
Van Nuys, CA 91406-1314 - Phone
- (818) 300-3384
- NPI assigned
- Mar 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betty S Jelen
- Title
- Ceo
- Phone
- (818) 300-3384
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | A35493 | CA | Primary |
Addresses
Primary practice location
15904 Strathern St
Suite 19
Van Nuys, CA 91406-1314
Mailing address
15904 Strathern St
Suite 19
Van Nuys, CA 91406-1314
National Provider Directory
National Provider DirectoryLocations
2924 Knight St
Ste 355
Shreveport, LA 71105
Phone (318) 344-8584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236038400000",
"number": "1629218755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15904 STRATHERN ST",
"address_2": "SUITE 19",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914061314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15904 STRATHERN ST",
"address_2": "SUITE 19",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914061314",
"telephone_number": "818-300-3384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANDU LAB SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-03",
"status": "A",
"authorized_official_last_name": "JELEN",
"authorized_official_first_name": "BETTY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-300-3384"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "A35493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.