Brand Diagnostic Center,inc
Physiological Laboratory in Glendale, CA. Organization (NPI-2).
NPI number1003865767
StatusActive
Last updated in NPPESNov 26, 2007
Details
- NPI
- 1003865767
- Entity type
- Organization (NPI-2)
- Legal business name
- Brand Diagnostic Center,inc
- Organization subpart
- No
- Enumeration date
- May 9, 2006
- Last updated
- Nov 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Practice location
100 N Brand BlvdSuite 532
Glendale, CA 91203-2641
Phone 818-476-0075 · Fax 818-476-0081
Mailing address
100 N Brand BlvdSuite 532
Glendale, CA 91203-2641
Authorized official
Irina Gevorgyan
Ceo
8184760075
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