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Organization
MEDICAL GENETICS DIAGNOSTIC CENTER LLC
Active
Organization
MEDICAL GENETICS DIAGNOSTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XUANTO LEDUC MD (PHYSICIAN/MANAGER)
(714) 540-0105
Entity
Organization
Contact information
Practice address
11160 WARNER AVE STE 201, FOUNTAIN VALLEY, CA 92708-4048
(714) 540-0105
(714) 540-6727
Mailing address
11160 WARNER AVE STE 201, FOUNTAIN VALLEY, CA 92708-4048
(714) 540-0105
(714) 540-6727
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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