Provider Demographics
NPI:1083794416
Name:AMERICAN DIAGNOSTIC CENTERS
Entity Type:Organization
Organization Name:AMERICAN DIAGNOSTIC CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROW
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-789-0241
Mailing Address - Street 1:15670 CASTLEWOODS DRIVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403
Mailing Address - Country:US
Mailing Address - Phone:818-789-0241
Mailing Address - Fax:
Practice Address - Street 1:15670 CASTLEWOODS DRIVE
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403
Practice Address - Country:US
Practice Address - Phone:818-789-0241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9241261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic