Provider Demographics
NPI:1225049042
Name:LOS GATOS COMMUNITY CT, INC.
Entity Type:Organization
Organization Name:LOS GATOS COMMUNITY CT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:A. RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ADROUNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-378-0131
Mailing Address - Street 1:700 W PARR AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1442
Mailing Address - Country:US
Mailing Address - Phone:408-378-0131
Mailing Address - Fax:
Practice Address - Street 1:700 W PARR AVE
Practice Address - Street 2:SUITE F
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1442
Practice Address - Country:US
Practice Address - Phone:408-378-0131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed TomographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ30432ZMedicare ID - Type Unspecified