Organization
VITAL SCAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNA DAVIDOV (CEO)
(323) 653-2200
Entity
Organization
Contact information
Practice address
6399 WILSHIRE BLVD, SUITE 319-321, LOS ANGELES, CA 90048-5703
(323) 653-2200
(323) 651-1970
Mailing address
PO BOX 48708, LOS ANGELES, CA 90048-0708
(323) 653-2200
(323) 651-1970
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
01/08/2009
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