Organization
DIAGNOSTIC VILLAGE, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD TURKANIS M.D. (PRESIDENT)
(310) 482-0050
Entity
Organization
Contact information
Practice address
4223 GLENCOE AVE, SUITE C-107, MARINA DEL REY, CA 90292-5669
(310) 482-0050
(310) 482-0059
Mailing address
4223 GLENCOE AVE, SUITE C-107, MARINA DEL REY, CA 90292-5669
(310) 482-0050
(310) 482-0059
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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