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1265642185 NPI number — STEVEN A. DRELL M D & H. LEE KAGAN M D, A MEDICAL CORPORATION

NPI Number: 1265642185
Health Care Provider/Practitioner: STEVEN A. DRELL M D & H. LEE KAGAN M D, A MEDICAL CORPORATION

Information about “1265642185” NPI (STEVEN A. DRELL M D & H. LEE KAGAN M D, A MEDICAL CORPORATION) exists in 1265642185 in HTML format HTML  |  1265642185 in plain Text format TXT  |  1265642185 in PDF (Portable Document Format) PDF  |  1265642185 in an XML format XML  formats.

NPI Number : 1265642185 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265642185",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "STEVEN A. DRELL M D & H. LEE KAGAN M D, A MEDICAL CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13320 RIVERSIDE DR",
    "SecondLineMailingAddress": "SUITE 100",
    "MailingAddressCityName": "SHERMAN OAKS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91423-2502",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-784-9905",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13320 RIVERSIDE DR",
    "SecondLinePracticeLocationAddress": "SUITE 100",
    "PracticeLocationAddressCityName": "SHERMAN OAKS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91423-2502",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-784-9905",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/22/2007",
    "LastUpdateDate": "12/04/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DRELL",
    "AuthorizedOfficialFirstName": "STEVEN",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "818-784-9905",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM2500X",
        "TaxonomyName": "Medical Specialty Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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