Organization
ELITE DIAGNOSTICS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ANDREW SCHWARTZ M.D. (MEDICAL DIRECTOR)
(818) 893-7500
Entity
Organization
Contact information
Practice address
1445 E LOS ANGELES AVE, SUITE 203, SIMI VALLEY, CA 93065-2817
(818) 893-7500
(818) 893-4425
Mailing address
PO BOX 940700, SIMI VALLEY, CA 93094-0700
(818) 893-7500
(818) 893-4425
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
C35757
CA
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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