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Organization

EXECUTIVE MEDICAL DIAGNOSTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE SHAHINIAN M.D. (PRESIDENT)
(949) 715-0505
Entity
Organization

Contact information

Practice address
31852 COAST HWY, SUITE 201, LAGUNA BEACH, CA 92651-6764
(949) 715-0505
Mailing address
31852 COAST HWY, SUITE 201, LAGUNA BEACH, CA 92651-6764
(949) 715-0505

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
C2823798
CA

Other

Enumeration date
02/19/2009
Last updated
02/19/2009
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