Organization
SOCAL MED LAB
Active
Organization
SOCAL MED LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL I MOHAMMED (OWNER)
(872) 235-7365
Entity
Organization
Contact information
Practice address
16438 VANOWEN ST STE 207B, VAN NUYS, CA 91406-4733
(872) 235-7365
Mailing address
16438 VANOWEN ST STE 207B, VAN NUYS, CA 91406-4733
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/12/2024
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