Organization
DIALCO DIAGNOSTICS GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL GATH JR. (MANAGING CONSULTANT)
(310) 752-3603
Entity
Organization
Contact information
Practice address
8306 WILSHIRE BLVD, SUITE 385, BEVERLY HILLS, CA 90211-2382
(310) 752-3603
(208) 975-2296
Mailing address
8306 WILSHIRE BLVD, SUITE 385, BEVERLY HILLS, CA 90211-2382
(310) 752-3603
(208) 975-2296
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
247200000X
Other Technician
—
—
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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