Provider Demographics
NPI:1073085056
Name:JAMES E LANDEN MD INC.
Entity type:Organization
Organization Name:JAMES E LANDEN MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LANDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-906-9538
Mailing Address - Street 1:370 N WESTLAKE BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-7041
Mailing Address - Country:US
Mailing Address - Phone:805-906-9538
Mailing Address - Fax:805-496-4186
Practice Address - Street 1:370 N WESTLAKE BLVD STE 220
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-7041
Practice Address - Country:US
Practice Address - Phone:805-906-9538
Practice Address - Fax:805-496-4186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-01
Last Update Date:2019-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1487782298OtherNPPES