| Organization Name: | WEST COAST MEDCORP INC |
| NPI Number: | 1013323757 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN DRAKE (MEDICAL DIRECTOR) |
| Mailing Address: | 15720 Ventura Blvd Ste. 417 Encino |
| State: | CA US |
| Postal Code: | 914362914 |
| Phone Number: | 8009673309 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2014 |
| NPI Last Update Date: | 07/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0204X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Vascular & Interventional Radiology |
| Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |