Organization
PREMIER DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANIV FARBENBLOOMM DC (PRESIDENT)
(818) 505-0152
Entity
Organization
Contact information
Practice address
20929 VENTURA BLVD, 47-350, WOODLAND HILLS, CA 91364-2334
(818) 505-0152
(818) 505-0398
Mailing address
20929 VENTURA BLVD, 47-350, WOODLAND HILLS, CA 91364-2334
(818) 505-0152
(818) 505-0398
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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