Organization
AFMC DIAMOND LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN N LEW (ADMINISTRATOR)
(909) 777-8888
Entity
Organization
Contact information
Practice address
1370 VALLEY VISTA DR STE 135, DIAMOND BAR, CA 91765-3950
(909) 777-8888
(909) 551-0200
Mailing address
1370 VALLEY VISTA DR STE 135, DIAMOND BAR, CA 91765-3950
(909) 777-8888
(909) 551-0200
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
07/13/2022
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