Healthcare Provider Details

I. General information

NPI: 1386698389
Provider Name (Legal Business Name): FIRSTCARE DIAGNOSTIC SERVICES,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BRAND BLVD B125
GLENDALE CA
91203-4427
US

IV. Provider business mailing address

401 N BRAND BLVD B125
GLENDALE CA
91203-4427
US

V. Phone/Fax

Practice location:
  • Phone: 818-502-2042
  • Fax: 818-502-0090
Mailing address:
  • Phone: 818-502-2042
  • Fax: 818-502-0090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225B00000X
TaxonomyPulmonary Function Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. MIHRAN MEGUERIAN
Title or Position: OWNER
Credential:
Phone: 818-502-2042