Organization
HEALTHY LIFE DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENNADIY BIRGER (PRESIDENT)
(323) 528-0606
Entity
Organization
Contact information
Practice address
1930 WILSHIRE BLVD STE 1209, LOS ANGELES, CA 90057-3622
(213) 413-2010
Mailing address
1930 WILSHIRE BLVD STE 1209, LOS ANGELES, CA 90057-3622
(213) 413-2010
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
CA
Other
Enumeration date
01/11/2007
Last updated
10/03/2008
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