Medtech, Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MEDTECH, INC

Practice address

7715 Burnet Ave
Suite D
Van Nuys, CA 91405-6457

Phone

(818) 786-1094

Fax

(818) 786-1097

NPI assigned

Jun 26, 2009

Organization subpart

No

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

Authorized official

Name

Kevin K Drake, M.D.

Title

Ceo

Phone

(818) 786-1094

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1780812883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 BURNET AVE",
            "address_2": "SUITE D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914056457",
            "telephone_number": "818-786-1094",
            "fax_number": "818-786-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 BURNET AVE",
            "address_2": "SUITE D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914056457",
            "telephone_number": "818-786-1094",
            "fax_number": "818-786-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTECH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-786-1094",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.