Organization
BRAND DIAGNOSTIC CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA GEVORGYAN (CEO)
(818) 476-0075
Entity
Organization
Contact information
Practice address
100 N BRAND BLVD, SUITE 532, GLENDALE, CA 91203-2641
(818) 476-0075
(818) 476-0081
Mailing address
100 N BRAND BLVD, SUITE 532, GLENDALE, CA 91203-2641
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
11/26/2007
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