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Organization
SELECTIVE DIAGNOSTICS INC
Active
Organization
SELECTIVE DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD SCHILLING MD (PRESIDENT)
(800) 850-2693
Entity
Organization
Contact information
Practice address
3432 WINDSPUN DR, HUNTINGTON BEACH, CA 92649-2011
(800) 850-2693
(949) 258-5626
Mailing address
4695 MACARTHUR CT STE 430, NEWPORT BEACH, CA 92660-8854
(800) 850-2693
(949) 258-5626
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A0596549
CA
Other
Enumeration date
01/13/2014
Last updated
03/28/2018
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