Organization
MODERN DIAGNOSTICS MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANDREW LIKER MD (CEO)
(310) 314-8250
Entity
Organization
Contact information
Practice address
2601 OCEAN PARK BLVD, SUITE 100, SANTA MONICA, CA 90405
(310) 314-8250
(310) 314-8266
Mailing address
2601 OCEAN PARK BLVD, SUITE 100, SANTA MONICA, CA 90405
(310) 314-8250
(310) 314-8266
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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