# IGEN MEDICAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346594454
- **Authorized official:** DR. EDWARD N. OPOKU D.O. (PRESIDENT)
- **Authorized official phone:** (818) 776-1171

## Contact information

- **Practice address:** 7012 RESEDA BLVD., STE. A, RESEDA, CA 91335-4206
- **Practice address phone:** (818) 776-1171
- **Practice address fax:** (818) 776-1191
- **Mailing address:** 7012 RESEDA BLVD., STE. F, RESEDA, CA 91335-4206
- **Mailing address phone:** (818) 776-1171
- **Mailing address fax:** (818) 776-1191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2012
- **Last updated:** 03/09/2015