Ccrmed INC
NPI #1093044604 in West Hills, California
Provider Information
- NPI Number
- 1093044604
- Entity Type
- Organization
- Organization Name
- Ccrmed INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 9, 2009
- Last Updated
- Aug 10, 2010
Practice Location
- Address
- 7301 MEDICAL CENTER DR
- Address 2
- SUITE 200
- City
- West Hills
- State
- California
- ZIP Code
- 91307-1904
- Phone
- (818) 924-0525
Authorized Official
- Name
- LEON TAN QUE JR., M.D.
- Title
- PRESIDENT
- Phone
- (818) 924-0525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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