| Afterglow Diagnostics Llc | |
|
1600 Rosecrans Ave Bldg 7, 4th Floor Manhattan Beach CA 90266-3708 | |
| (310) 321-7818 | |
| (310) 667-8818 |
| Full Name | Afterglow Diagnostics Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1600 Rosecrans Ave, Manhattan Beach, California |
| Authorized Official Name and Position | Liza Marie Vismanos (PRESIDENT) |
| Authorized Official Contact | 3103217818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Afterglow Diagnostics Llc 1600 Rosecrans Ave Bldg 7, 4th Floor Manhattan Beach CA 90266-3708 Ph: (310) 321-7818 | Afterglow Diagnostics Llc 1600 Rosecrans Ave Bldg 7, 4th Floor Manhattan Beach CA 90266-3708 Ph: (310) 321-7818 |
| NPI Number | 1538474655 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 08/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538474655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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