Organization
GREENLINE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENY KIRZHNER (PRESIDENT)
(310) 602-9116
Entity
Organization
Contact information
Practice address
971 N LA CIENEGA BLVD, SUITE 202, LOS ANGELES, CA 90069-4790
(310) 602-9116
(310) 943-1727
Mailing address
971 N LA CIENEGA BLVD, SUITE 202, LOS ANGELES, CA 90069-4790
(310) 602-9116
(310) 943-1727
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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