Organization
JAID GORBAN
Active
Other names
Socal Diagnostic
Organization subpart
No
Provider details
NPI number
Authorized official
JAID GORBAN (OWNER)
(818) 742-6555
Entity
Organization
Contact information
Practice address
6931 VAN NUYS BLVD, SUITE 317, VAN NUYS, CA 91405-3937
(818) 742-6555
(818) 742-6556
Mailing address
5242 VESPER AVE APT 2, SHERMAN OAKS, CA 91411-4091
(818) 742-6555
(818) 742-6556
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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