Organization
DINEURO DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIROUS SORAT (ADMINISTRATOR)
(714) 554-2222
Entity
Organization
Contact information
Practice address
13896 HARBOR BLVD, SUITE 5C, GARDEN GROVE, CA 92843-4045
(714) 554-2222
Mailing address
13896 HARBOR BLVD, SUITE 5C, GARDEN GROVE, CA 93843
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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