Organization
EPIPHANY HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN BRESNAN (EXECUTIVE DIRECTOR)
(626) 427-2477
Entity
Organization
Contact information
Practice address
10655 CUSHDON AVE, LOS ANGELES, CA 90064-3316
(626) 427-2477
(626) 844-2977
Mailing address
1246 S. BEDFORD DRIVE, LOS ANGELES, CA 90035-0000
(626) 427-2477
(626) 844-2977
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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