Organization
ERGO SUM GENOMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMOND DEFRANK (VICE PRESIDENT)
(310) 802-6827
Entity
Organization
Contact information
Practice address
3701 SKYPARK DR, #240, TORRANCE, CA 90505-4753
(424) 247-8846
Mailing address
3701 SKYPARK DR, #240, TORRANCE, CA 90505-4753
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF00349227
CA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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