Organization
PCH DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY LEE (MANAGER)
(714) 417-5836
Entity
Organization
Contact information
Practice address
2990 E. PACIFIC COAST HWY, SUITE B, LONG BEACH, CA 90804
(562) 343-7181
Mailing address
2990 E. PACIFIC COAST HWY, SUITE B, LONG BEACH, CA 90804
(562) 343-7181
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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