Provider Demographics
NPI:1386295335
Name:24 7 CARE DIAGNOSTIC
Entity type:Organization
Organization Name:24 7 CARE DIAGNOSTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRUNZE
Authorized Official - Middle Name:
Authorized Official - Last Name:AVOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-400-0009
Mailing Address - Street 1:14545 FRIAR ST STE 168
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2397
Mailing Address - Country:US
Mailing Address - Phone:707-408-4000
Mailing Address - Fax:
Practice Address - Street 1:14545 FRIAR ST STE 168
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2397
Practice Address - Country:US
Practice Address - Phone:707-408-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3300077OtherLOS ANGELES CITY BUSINESS LICENSE NUMBER