Organization
PIVOTAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASMINE AHDOUT M.D. (MANAGER)
(424) 363-8378
Entity
Organization
Contact information
Practice address
150 N. ROBERTSON BLVD., #204, BEVERLY HILLS, CA 90211
(424) 363-8378
(424) 389-7022
Mailing address
215 DENSLOW AVE, LOS ANGELES, CA 90049-3222
(424) 363-8378
(424) 389-7022
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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