| Organization Name: | PACIFIC MEDICAL ANALYSIS, INC |
| NPI Number: | 1104131929 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE RABBANI (OFFICE MANAGER) |
| Mailing Address: | 18909 Sherman Way B Reseda |
| State: | CA US |
| Postal Code: | 913357700 |
| Phone Number: | 8184011048 |
| Fax Number: | 8187749719 |
| NPI Enumeration Date: | 08/17/2010 |
| NPI Last Update Date: | 08/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471V0106X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Vascular-Interventional Technology |
| Taxonomy Definition: | |