Healthcare Provider Details

I. General information

NPI: 1891637005
Provider Name (Legal Business Name): RAD THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18017 CHATSWORTH ST STE 321
GRANADA HILLS CA
91344-5608
US

IV. Provider business mailing address

18017 CHATSWORTH ST
GRANADA HILLS CA
91344-5608
US

V. Phone/Fax

Practice location:
  • Phone: 818-429-1516
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: RICHARD DAVITIAN
Title or Position: COO
Credential:
Phone: 818-429-1516