Organization
BROWN LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ALONZO GANONG (DIRECTOR)
(661) 321-6173
Entity
Organization
Contact information
Practice address
10289 BANNOCKBURN DR, LOS ANGELES, CA 90064-4706
(661) 321-6173
(661) 327-3395
Mailing address
12021 WILSHIRE BLVD, #438, LOS ANGELES, CA 90025-1206
(661) 321-6173
(661) 327-3395
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2051152
CA
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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