Organization
PIONEER MEDICAL DIAGNOSTICS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHASHAYAR POURMAND RNCS.T (CEO)
(310) 592-5067
Entity
Organization
Contact information
Practice address
833 S LOS ROBLES AVE, PASADENA, CA 91106-3716
(310) 592-5067
Mailing address
833 S LOS ROBLES AVE, PASADENA, CA 91106-3716
(310) 592-5067
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
704
MA
Other
Enumeration date
06/07/2007
Last updated
10/11/2012
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