Practice Diagnostics Llc | |
1200 N Tustin Ave Suite 120 Santa Ana CA 92705-3508 | |
(714) 340-5990 | |
Not Available |
Full Name | Practice Diagnostics Llc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1200 N Tustin Ave, Santa Ana, California |
Authorized Official Name and Position | Shawn M Rowland (CEO) |
Authorized Official Contact | 8183560661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Practice Diagnostics Llc Po Box 921332 Sylmar CA 91392-1332 Ph: (818) 356-0661 | Practice Diagnostics Llc 1200 N Tustin Ave Suite 120 Santa Ana CA 92705-3508 Ph: (714) 340-5990 |
NPI Number | 1346652781 |
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Provider Enumeration Date | 05/20/2014 |
Last Update Date | 05/20/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346652781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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