Organization
MEDTECH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN K DRAKE M.D. (CEO)
(818) 786-1094
Entity
Organization
Contact information
Practice address
7715 BURNET AVE, SUITE D, VAN NUYS, CA 91405-6457
(818) 786-1094
(818) 786-1097
Mailing address
7715 BURNET AVE, SUITE D, VAN NUYS, CA 91405-6457
(818) 786-1094
(818) 786-1097
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2009
Last updated
07/21/2009
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