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Organization

REO DIAGNOSTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RAISA GOLKOVA (PRESIDENT)
(818) 692-1514
Entity
Organization

Contact information

Practice address
14521 TITUS ST, SUITE #224, PANORAMA CITY, CA 91402
(818) 692-1514
(818) 988-0059
Mailing address
14521 TITUS ST, SUITE #224, PANORAMA CITY, CA 91402
(818) 692-1514
(818) 988-0059

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Enumeration date
06/12/2006
Last updated
08/22/2020
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