21053 Devnshire 106

NPI #1245697655 in Chatsworth, California

Provider Information

NPI Number
1245697655
Entity Type
Organization
Organization Name
21053 Devnshire 106
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jan 15, 2016
Last Updated
Jan 15, 2016

Practice Location

Address
21053 DEVONSHIRE ST STE 106
ZIP Code
91311-8247
Phone
(818) 274-1843

Authorized Official

Name
MRS. YADIRA VALLES, M.D., PH.D.
Title
DIRECTOR OF RESEARCH
Phone
(818) 274-1843

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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