Organization
GENETICS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOURAN M ZADEH MD (MEDICAL DIRECTOR CEO)
(714) 288-3500
Entity
Organization
Contact information
Practice address
211 SOUTH MAIN STREET, SUITE E, ORANGE, CA 92868
(714) 288-3500
(714) 288-3510
Mailing address
211 SOUTH MAIN STREET, SUITE E, ORANGE, CA 92868
(714) 288-3500
(714) 288-3510
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB79108F
—
CA
Enumeration date
05/24/2006
Last updated
08/22/2020
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