Organization Active NPI

Candu Lab Services Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Van Nuys, CA
National Provider Identifier
1629218755
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A35493 Issued in CA
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

Updated by the provider on Mar 3, 2009

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.