Desert Dx LLC
Clinic/Center in Los Angeles, CA. Organization (NPI-2).
NPI number1346830783
StatusActive
Last updated in NPPESJan 20, 2021
Details
- NPI
- 1346830783
- Entity type
- Organization (NPI-2)
- Legal business name
- Desert Dx LLC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2021
- Certification date
- Jan 20, 2021
- Last updated
- Jan 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
712 N Alta Vista BlvdLos Angeles, CA 90046-7602
Phone 213-999-0896
Mailing address
157 Ocean Park BlvdSanta Monica, CA 90405-3525
Phone 213-999-0896
Authorized official
Max McNally
Ceo
2139990896
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