Organization
PROMO CALL DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH MOTAMEDI (CEO)
(310) 590-5970
Entity
Organization
Contact information
Practice address
10900 WARNER AVE STE 124, FOUNTAIN VALLEY, CA 92708-3846
(310) 590-5970
(714) 276-0552
Mailing address
10900 WARNER AVE STE 124, FOUNTAIN VALLEY, CA 92708-3846
(310) 590-5970
(714) 276-0552
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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