Organization
HOLLYWOOD DIAGNOSTIC SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR LIFSHITS (ADMINISTRATOR)
(323) 463-7030
Entity
Organization
Contact information
Practice address
7080 HOLLYWOOD BLVD, SUITE 820, LOS ANGELES, CA 90028-6906
(323) 463-7030
(323) 463-0106
Mailing address
PO BOX 17255, ENCINO, CA 91416-7255
(323) 463-7030
(323) 463-0106
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
08/23/2005
Last updated
06/27/2017
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