Reo Diagnostic Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

REO DIAGNOSTIC INC

Practice address

14521 Titus St
Suite #224
Panorama City, CA 91402

Phone

(818) 692-1514

Fax

(818) 988-0059

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Raisa Golkova

Title

President

Phone

(818) 692-1514

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982646220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14521 TITUS ST",
            "address_2": "SUITE #224",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-692-1514",
            "fax_number": "818-988-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14521 TITUS ST",
            "address_2": "SUITE #224",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-692-1514",
            "fax_number": "818-988-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REO DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLKOVA",
        "authorized_official_first_name": "RAISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-692-1514",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Damilo Regalado, RN
• Regents of the University of (UCLA Outreach Clinical Lab-Panorama City)
• Rehabcare Unlimited Corporation
• Ana Isabel Reinis, LPT
• Marifi Remoquillo, DPT
• Juhtima Reuangsettakal
• Fernando Andres Rey, D.C.
• Reyadh J Michail MD Inc
• Christianne Gumabon Reyes, MD
• Franklyn Leonel Reyes

• Physiological Laboratory in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Physiological 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.