Hooshang Dalavarian, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF 11532 Issued in CA

Legal business name

HOOSHANG DALAVARIAN, INC

Practice address

100 Tustin Ave
Tustin, CA 92780

Phone

(714) 285-2950

Fax

(714) 285-2960

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Hooshang Dalavarian, PH.D

Title

President

Phone

(714) 285-2950

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTHERN CALIFORNIA REFERENCE LABORATORY Doing business as

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1487686556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TUSTIN AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-285-2950",
            "fax_number": "714-285-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TUSTIN AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-285-2950",
            "fax_number": "714-285-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSHANG DALAVARIAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "DALAVARIAN",
        "authorized_official_first_name": "HOOSHANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-285-2950",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 11532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB55508F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN CALIFORNIA REFERENCE LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Holzer
• Homedical Inc.
• Honesta Hospice and Palliative Care
• James Hong, L.AC
• Hooman M Javanmardi, Physical Therapist, a Professional Corporation
• Megan Hormazdi, MSN-FNP
• Janet Lipmanq Horwitz
• Krista M Hoskins, AUD F-AAA
• Kyle Joseph Hoskins
• Iris Hou

• Clinical Medical Laboratory in Tustin, CA
• Providers in Tustin, 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 28, 2007; 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.