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Organization

HIBM RESEARCH GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL DARVISH M.D. (CHIEF FINANCIAL OFFICER)
(818) 789-1033
Entity
Organization

Contact information

Practice address
18341 SHERMAN WAY, SUITE 201A, RESEDA, CA 91335-4472
(818) 789-1033
(818) 304-7136
Mailing address
18341 SHERMAN WAY, SUITE 201A, RESEDA, CA 91335-4472
(818) 789-1033
(818) 304-7136

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D0992853
MEDICARE/MEDICAID PIN
CA
Enumeration date
08/22/2007
Last updated
02/01/2010
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