Madonna Company

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MADONNA COMPANY

Practice address

13746 Victory Blvd
Van Nuys, CA 91401-6716

Phone

(747) 256-4015

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Mr. G Anderson S

Title

Rep

Phone

(747) 256-4015

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1740745447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N SPRING ST",
            "address_2": "#1330",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90012",
            "telephone_number": "747-256-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13746 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016716",
            "telephone_number": "747-256-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADONNA COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "S",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "REP",
        "authorized_official_telephone_number": "747-256-4015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.