Organization
DIRECT DIAGNOSTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS U JOHNSON M.D. (DIRECTOR)
(714) 675-0505
Entity
Organization
Contact information
Practice address
512 S CENTRAL PARK AVE E, ANAHEIM, CA 92802-1472
(714) 675-0505
Mailing address
512 S CENTRAL PARK AVE E, ANAHEIM, CA 92802-1472
(714) 675-0505
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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