Organization
SANTA ANITA MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA GHEREGA (CEO)
(818) 304-1936
Entity
Organization
Contact information
Practice address
9245 RESEDA BLVD, SUITE 743, NORTHRIDGE, CA 91324-3137
(818) 304-1936
Mailing address
9245 RESEDA BLVD, SUITE 743, NORTHRIDGE, CA 91324-3137
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1101030
CA
Other
Enumeration date
07/13/2009
Last updated
09/16/2009
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