Healthcare Provider Details

I. General information

NPI: 1477479780
Provider Name (Legal Business Name): TRUE CARE DIAGNOSTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10260 FOOTHILL BLVD
LAKE VIEW TERRACE CA
91342-7038
US

IV. Provider business mailing address

10260 FOOTHILL BLVD
LAKE VIEW TERRACE CA
91342-7038
US

V. Phone/Fax

Practice location:
  • Phone: 747-225-0490
  • Fax: 747-225-0492
Mailing address:
  • Phone: 747-225-0490
  • Fax: 747-225-0492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JAKHONGIR USTABAEV
Title or Position: CEO
Credential:
Phone: 747-225-0490