# CALIFORNIA LOCAL DIAGNOSTIC,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366486136
- **Authorized official:** ARYTUN KHOUDAGOULIAN (PRESIDENT)
- **Authorized official phone:** (818) 244-0202

## Contact information

- **Practice address:** 216 S JACKSON ST, SUITE \# 101, GLENDALE, CA 91205-1177
- **Practice address phone:** (818) 244-0202
- **Mailing address:** 216 S JACKSON ST, GLENDALE, CA 91205-1191
- **Mailing address phone:** (818) 244-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | TG226 | CA | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 08/22/2020