Organization
BRANDICE MEDICAL ASSOCIATES INC
Active
Other names
Industrial Medical Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN J PRYAL (PRESIDENT)
(951) 340-1800
Entity
Organization
Contact information
Practice address
13575 JASPER LOOP, CORONA, CA 92879
(951) 340-1800
(951) 340-1824
Mailing address
1191 MAGNOLIA AVE, STE. D-336, CORONA, CA 92879
(951) 340-1800
(951) 340-1824
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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