Organization
PROGENABIOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABINE HAZAN MD (OWNER)
(805) 200-7436
Entity
Organization
Contact information
Practice address
1845 KNOLL DR, VENTURA, CA 93003-7321
(805) 339-0549
(805) 642-1540
Mailing address
1845 KNOLL DR, VENTURA, CA 93003-7321
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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