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Organization
GNA DIAGNOSTIC INC.
Active
Organization
GNA DIAGNOSTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT KOSTIKIAN (PRESIDENT)
(818) 281-8091
Entity
Organization
Contact information
Practice address
1480 COLORADO BLVD # 135, LOS ANGELES, CA 90041-2357
(818) 281-8091
Mailing address
1480 COLORADO BLVD #135, LOS ANGELES, CA 90041
(818) 281-8091
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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