Organization
SOCAL DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADIE MAGHAREH J.D. (CO-FOUNDER)
(832) 216-4006
Entity
Organization
Contact information
Practice address
1003 WILSHIRE BLVD STE 206, SANTA MONICA, CA 90401-1927
(832) 216-4006
Mailing address
1003 WILSHIRE BLVD STE 206, SANTA MONICA, CA 90401-1927
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
07/09/2021
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