Socal Med Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOCAL MED LAB

Practice address

16438 Vanowen St Ste 207B
Van Nuys, CA 91406-4733

Phone

(872) 235-7365

NPI assigned

Nov 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abdul I Mohammed

Title

Owner

Phone

(872) 235-7365

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1093538332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16438 VANOWEN ST STE 207B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16438 VANOWEN ST STE 207B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064733",
            "telephone_number": "872-235-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL MED LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ABDUL I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "872-235-7365"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sober District Inc
• Esther Soberano
• Kristina Sobko
• Socal Home Health Care, LLC
• Socal Hospice Care Services
• Socal Medical Home Health
• Socal Nurses Hospice
• Socially Oriented United Living Inc.
• Socially Oriented United Living Inc.
• Soft Home Health Care Inc

• Clinical Medical Laboratory in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.