Organization
VITAE DIAGNOSTICS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISSAM KABBANI (OWNER)
(310) 376-5812
Entity
Organization
Contact information
Practice address
3838 DEL AMO BLVD STE 202, TORRANCE, CA 90503-7710
(310) 376-5812
(310) 598-2120
Mailing address
PO BOX 609, REDONDO BEACH, CA 90277-0609
(310) 376-5812
(310) 598-2120
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2044828
CA
Other
Enumeration date
06/26/2013
Last updated
03/15/2022
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