| Organization Name: | MED NATION, INC. |
| NPI Number: | 1255735171 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD N OPOKU (PRESIDENT) |
| Mailing Address: | 7012 Reseda Blvd. Suite A Reseda |
| State: | CA US |
| Postal Code: | 91335 |
| Phone Number: | 8187761171 |
| Fax Number: | 8187761191 |
| NPI Enumeration Date: | 10/21/2014 |
| NPI Last Update Date: | 06/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A11418 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |