Pacific Diagnostic Medical LLC
NPI #1548234776 in Tujunga, California
Provider Information
- NPI Number
- 1548234776
- Entity Type
- Organization
- Organization Name
- Pacific Diagnostic Medical LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Feb 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 9454 CORDERO AVE
- City
- Tujunga
- State
- California
- ZIP Code
- 91042-3302
- Phone
- (818) 353-1774
Authorized Official
- Name
- DWAYE KEVIN POWELL
- Title
- OWNER
- Phone
- (818) 353-1774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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