Organization
PRACTICE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN M ROWLAND (CEO)
(818) 356-0661
Entity
Organization
Contact information
Practice address
1200 N TUSTIN AVE, SUITE 120, SANTA ANA, CA 92705-3508
(714) 340-5990
Mailing address
PO BOX 921332, SYLMAR, CA 91392-1332
(818) 356-0661
(818) 364-1751
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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