Active NPI
Dineuro Diagnostic
- Physiological Laboratory
- Garden Grove, CA
National Provider Identifier
1285994764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- DINEURO DIAGNOSTIC
- Practice address
- 13896 Harbor Blvd
Suite 5C
Garden Grove, CA 92843-4045 - Phone
- (714) 554-2222
- NPI assigned
- May 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sirous Sorat
- Title
- Administrator
- Phone
- (714) 554-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
13896 Harbor Blvd
Suite 5C
Garden Grove, CA 92843-4045
Mailing address
13896 Harbor Blvd
Suite 5C
Garden Grove, CA 93843
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337299200000",
"number": "1285994764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13896 HARBOR BLVD",
"address_2": "SUITE 5C",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "93843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13896 HARBOR BLVD",
"address_2": "SUITE 5C",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434045",
"telephone_number": "714-554-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DINEURO DIAGNOSTIC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-18",
"last_updated": "2012-05-18",
"status": "A",
"authorized_official_last_name": "SORAT",
"authorized_official_first_name": "SIROUS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "714-554-2222",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.