Organization · NPI-2

Advanced Diagnostics

Psychiatry & Neurology, Neurology · Los Angeles, CA

NPI number1235425307
StatusActive
Last updated in NPPESJun 27, 2011

Details

NPI
1235425307
Entity type
Organization (NPI-2)
Legal business name
Advanced Diagnostics
Organization subpart
No
Enumeration date
Jun 27, 2011
Last updated
Jun 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyA98461CAYes

Practice location

3500 Overland Ave
A133
Los Angeles, CA 90034-5695

Phone 323-854-4454

Mailing address

3500 Overland Ave
A133
Los Angeles, CA 90034-5695

Phone 323-854-4454

Authorized official

Peter Adamczyk
Owner
3237854785

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