Organization
MED NATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD N OPOKU JR. D.O. (PRESIDENT)
(818) 776-1171
Entity
Organization
Contact information
Practice address
7012 RESEDA BLVD., SUITE A, RESEDA, CA 91335
(818) 776-1171
(818) 776-1191
Mailing address
7012 RESEDA BLVD., SUITE F, RESEDA, CA 91335
(818) 776-1171
(818) 304-7425
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A11418
CA
Other
Enumeration date
10/21/2014
Last updated
06/15/2015
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