MEDICARE: LOS GATOS COMMUNITY CT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2471C3401X	Computed Tomography Radiologic Technologist

General Provider Information

NPI Number	:	1225049042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOS GATOS COMMUNITY CT, INC.

Provider Business Mailing Address
First Line	:	700 W PARR AVE
Second Line	:	SUITE F
City	:	LOS GATOS
State	:	CA
Zip	:	95032-1442
Country	:	US
Telephone Number	:	408-378-0131
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 W PARR AVE
Second Line	:	SUITE F
City	:	LOS GATOS
State	:	CA
Zip	:	95032-1442
Country	:	US
Telephone Number	:	408-378-0131
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	A. RICHARD ADROUNY
Credential	:	MD
Telephone Number	:	408-378-0131

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	08/22/2020

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