Healthcare Provider Details

I. General information

NPI: 1225049042
Provider Name (Legal Business Name): LOS GATOS COMMUNITY CT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W PARR AVE SUITE F
LOS GATOS CA
95032-1442
US

IV. Provider business mailing address

700 W PARR AVE SUITE F
LOS GATOS CA
95032-1442
US

V. Phone/Fax

Practice location:
  • Phone: 408-378-0131
  • Fax:
Mailing address:
  • Phone: 408-378-0131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471C3401X
TaxonomyComputed Tomography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: A. RICHARD ADROUNY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 408-378-0131