| Mikwaves Diagnostic Inc | |
|
11120 Burbank Blvd Space 1a North Hollywood CA 91601-5708 | |
| (818) 509-8808 | |
| (818) 509-8806 |
| Full Name | Mikwaves Diagnostic Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 11120 Burbank Blvd, North Hollywood, California |
| Authorized Official Name and Position | Michael Ridjan (DIRECTOR) |
| Authorized Official Contact | 8185098808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mikwaves Diagnostic Inc 11120 Burbank Blvd Space 1a North Hollywood CA 91601-5708 Ph: (818) 509-8808 | Mikwaves Diagnostic Inc 11120 Burbank Blvd Space 1a North Hollywood CA 91601-5708 Ph: (818) 509-8808 |
| NPI Number | 1285776237 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285776237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 0002055859-0001-1 (California) | Primary |
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