Organization
SOCAL DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN YAKER (OWNER)
(310) 795-5154
Entity
Organization
Contact information
Practice address
8500 VAL VERDE DR, WEST HILLS, CA 91304-2135
(310) 795-5154
Mailing address
8500 VAL VERDE DR, WEST HILLS, CA 91304-2135
(310) 795-5154
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
247100000X
Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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