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Organization

LEGEND RECOVERY

Active
Parent organization
OVERNIGHT DIAGNOSTICS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OVERNIGHT DIAGNOSTICS LLC
Authorized official
MICHAEL YEDIDSION (OWNER)
(310) 474-7211
Entity
Organization

Contact information

Practice address
10700 SANTA MONICA BLVD STE 205, LOS ANGELES, CA 90025-6588
(310) 474-7211
Mailing address
10700 SANTA MONICA BLVD STE 205, LOS ANGELES, CA 90025-6588
(310) 474-7211

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
05/25/2016
Last updated
08/08/2016
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