Organization
DIAGNOSTIC CARE INC A PROFESSIONAL CORPORATION
Active
Organization
DIAGNOSTIC CARE INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM NICKBAKHT (PRESIDENT)
(310) 925-1145
Entity
Organization
Contact information
Practice address
1012 S ROBERTSON BLVD STE E, LOS ANGELES, CA 90035-1551
(310) 652-6537
(310) 943-1919
Mailing address
1012 S ROBERTSON BLVD STE E, LOS ANGELES, CA 90035-1551
(310) 652-6537
(310) 943-1919
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
327249
CA
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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