NPI 1407200546

Socal Diagnostics LLC

Organisation Sports Medicine (Physical Medicine & Rehabilitation) Physician Anaheim, CA

Practice location

Address: 1500 S Anaheim Blvd Suite 160, Anaheim, CA 92805-6242
Phone: (657) 999-5679

Authorised official

Name: Jason Aaron Walter David
Title: Member
Phone: (657) 999-5679

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X

Other Physical Medicine & Rehabilitation providers in California →

Registry record

NPI: 1407200546
Entity type: Organization
NPI issued: 14 Apr 2016
Record last updated: 14 Apr 2016

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.