Executive Medical Diagnostics
NPI #1346489010 in Laguna Beach, California
Provider Information
- NPI Number
- 1346489010
- Entity Type
- Organization
- Organization Name
- Executive Medical Diagnostics
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Feb 19, 2009
- Last Updated
- Feb 19, 2009
Practice Location
- Address
- 31852 COAST HWY
- Address 2
- SUITE 201
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92651-6764
- Phone
- (949) 715-0505
Authorized Official
- Name
- GEORGE SHAHINIAN, M.D.
- Title
- PRESIDENT
- Phone
- (949) 715-0505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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