Organization
MEDLINE DIAGNOSTIC CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GALINA PANASSENKO (OWNER)
(818) 254-8600
Entity
Organization
Contact information
Practice address
1720 COLORADO BLVD, LOS ANGELES, CA 90041-1338
(323) 254-8600
(323) 254-8700
Mailing address
1720 COLORADO BLVD, LOS ANGELES, CA 90041-1338
(323) 254-8600
(323) 254-8700
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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