Organization
SUPREME DIAGNOSTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALYA BEKETOVA (CEO)
(310) 279-2761
Entity
Organization
Contact information
Practice address
26213 VEVA WAY, CALABASAS, CA 91302
(310) 279-2761
(818) 456-4618
Mailing address
26213 VEVA WAY, CALABASAS, CA 91302
(310) 279-2761
(818) 456-4618
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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