| Pad Diagnostics Inc | |
|
10823 Odell Ave Sunland CA 91040 | |
| (818) 875-4185 | |
| (818) 875-4195 |
| Full Name | Pad Diagnostics Inc |
|---|---|
| Speciality | General Practice |
| Location | 10823 Odell Ave, Sunland, California |
| Authorized Official Name and Position | Arman Petrosian (CEO/PRESIDENT) |
| Authorized Official Contact | 8185475799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pad Diagnostics Inc 10823 Odell Ave Sunland CA 91040 Ph: (818) 875-4185 | Pad Diagnostics Inc 10823 Odell Ave Sunland CA 91040 Ph: (818) 875-4185 |
| NPI Number | 1750640967 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Medicare PECOS PAC ID | 7911130380 |
|---|---|
| Medicare Enrollment ID | O20140509000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750640967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| 293D00000X | Physiological Laboratory | () | Secondary |
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