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:
Map and Directions
Authorized official contact:
Name: Dalavarian, Hooshang PH.D
Phone: (714) 285-2950

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487686556 NPPES
California MEDICAID LAB55508F

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