Provider Demographics
NPI:1265010128
Name:VGR RESEARCH AND DEVELOPMENT CORP.
Entity Type:Organization
Organization Name:VGR RESEARCH AND DEVELOPMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:EARL
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-590-5620
Mailing Address - Street 1:4937 LAS VIRGENES RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-2949
Mailing Address - Country:US
Mailing Address - Phone:818-964-1441
Mailing Address - Fax:
Practice Address - Street 1:4937 LAS VIRGENES RD STE 104
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-2949
Practice Address - Country:US
Practice Address - Phone:818-964-1441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)