Organization
MAGNOLIA DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANNA OVSEPIAN (CEO)
(818) 260-9222
Entity
Organization
Contact information
Practice address
2000 W MAGNOLIA BLVD, 206, BURBANK, CA 91506-1744
(818) 260-9222
Mailing address
2000 W MAGNOLIA BLVD, 206, BURBANK, CA 91506-1744
(818) 260-9222
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
667
CA
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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