# INDIMED CORPORATION

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

## Provider details

- **NPI number:** 1720220981
- **Authorized official:** JAMES G TAPPAN (CEO)
- **Authorized official phone:** (818) 602-1160

## Contact information

- **Practice address:** 17620 SHERMAN WAY, SUITE 102, VAN NUYS, CA 91406-3527
- **Practice address phone:** (818) 602-1160
- **Mailing address:** 17620 SHERMAN WAY, SUITE 102, VAN NUYS, CA 91406-3527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A23884 | CA | Yes |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 08/05/2009