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Organization
SAN DIEGO LABORATORY LLC
Active
Organization
SAN DIEGO LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARA SALAZAR (ADMINISTRATOR, B&C)
(310) 273-8885
Entity
Organization
Contact information
Practice address
1800 S ROBERTSON BLVD, #149, LOS ANGELES, CA 90035-4359
(310) 273-8885
Mailing address
1800 S ROBERTSON BLVD, #149, LOS ANGELES, CA 90035-4359
(310) 273-8885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A84519
CA
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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