Whalio Doctors

NPI 1043260649

Primescan Medical Diagnostic, INC.

Organisation Physiological Laboratory Los Angeles, CA

Practice location

Address
8939 S Sepulveda Blvd Suite 504, Los Angeles, CA 90045-3631
Phone
(310) 216-7724
Mailing address
PO Box 9155, Marina del Rey, CA 90295-1555

Authorised official

Name
Pavel Baimkin
Title
President
Phone
(310) 216-7724

Registered specialties

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X

Registry record

NPI
1043260649
Entity type
Organization
NPI issued
12 May 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.