Organization
ULTRA MEDICAL LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHIH FANG WANG (OWNER)
(424) 404-3317
Entity
Organization
Contact information
Practice address
3860 DEL AMO BLVD STE 402, TORRANCE, CA 90503-2196
(424) 404-3317
(424) 652-5520
Mailing address
3860 DEL AMO BLVD STE 402, TORRANCE, CA 90503-2196
(424) 404-3317
(424) 652-5520
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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