Organization
MEDICAL DIAGNOSTIC AND PROGNOSTIC LABORATORY
Active
Organization
MEDICAL DIAGNOSTIC AND PROGNOSTIC LABORATORY
Active
Other names
Medprolab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIAT YEONG CHAN MD (CEO)
(310) 567-9213
Entity
Organization
Contact information
Practice address
4117 SOUTH ST, LAKEWOOD, CA 90712-1043
(562) 723-6732
Mailing address
14 STALLION RD, RANCHO PALOS VERDES, CA 90275-5257
(310) 567-9213
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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