Southern California Reference Laboratory
LBN: Hooshang Dalavarian, Inc
Southern California Reference Laboratory is an health care organization with primary practice located at 100 Tustin Ave , Tustin CA 92780. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
Hooshang Dalavarian, Inc can be contacted via phone (714) 285-2950, or through Dalavarian, Hooshang via phone (714) 285-2950.
Contact Information
Primary practice address
100 Tustin Ave
Tustin CA 92780
Phone: (714) 285-2950
Fax: (714) 285-2960
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Laboratories / Clinical Medical Laboratory | 291U00000X | CLF 11532 | California |
Profile Details
NPI number | 1487686556 |
---|---|
LBN Legal business name | Hooshang Dalavarian, Inc |
DBA Doing business as | Southern California Reference Laboratory |
Authorized official | Dalavarian, Hooshang PH.D |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 7th, 2006 |
Last updated | Nov 28th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487686556 | NPPES |
California | MEDICAID | LAB55508F |
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