Organization
WEST COAST BIO LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAIHAAN KHAN (PRESIDENT)
(630) 201-4786
Entity
Organization
Contact information
Practice address
20280 SW ACACIA ST STE 100, NEWPORT BEACH, CA 92660-0782
(630) 201-4786
Mailing address
20280 SW ACACIA ST STE 100, NEWPORT BEACH, CA 92660-0782
(630) 201-4786
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
01/26/2026
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