Seacliff Diagnostics Medical Group, Apc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF11688 Issued in CA

Legal business name

SEACLIFF DIAGNOSTICS MEDICAL GROUP, APC

Practice address

2100 Saturn St
Suite102
Monterey Park, CA 91755-7437

Phone

(323) 201-8200

Fax

(323) 201-8201

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Nancy Oagn

Title

President

Phone

(323) 201-8200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497792998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SATURN ST",
            "address_2": "SUITE102",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917557437",
            "telephone_number": "323-201-8200",
            "fax_number": "323-201-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SATURN ST",
            "address_2": "SUITE102",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917557437",
            "telephone_number": "323-201-8200",
            "fax_number": "323-201-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACLIFF DIAGNOSTICS MEDICAL GROUP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OAGN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-201-8200"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF11688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Monterey Park, CA
• Providers in Monterey Park, 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 Aug 22, 2020; 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.