Provider Demographics
NPI:1083852784
Name:CA MEDICAL DIAGNOSTICS INC
Entity Type:Organization
Organization Name:CA MEDICAL DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:FINKELSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-760-1600
Mailing Address - Street 1:PO BOX 17852
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-3852
Mailing Address - Country:US
Mailing Address - Phone:760-288-0920
Mailing Address - Fax:818-766-0600
Practice Address - Street 1:12931 BRITTANY RD
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-3545
Practice Address - Country:US
Practice Address - Phone:760-288-0920
Practice Address - Fax:818-766-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory