Organization
WESTERN HEALTH SCIENCES MEDICAL LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD VANCE (DIRECTOR)
(818) 773-9771
Entity
Organization
Contact information
Practice address
21018 OSBORNE ST STE 3, CANOGA PARK, CA 91304-1736
(818) 773-9771
(818) 773-9814
Mailing address
21018 OSBORNE ST STE 3, CANOGA PARK, CA 91304-1736
(818) 773-9771
(818) 773-9814
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF4149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB04149F
—
CA
Enumeration date
02/21/2007
Last updated
08/22/2020
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