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EAST SIDE PATHOLOGY ASSOCIATES MEDICAL GROUP INC. NPI 1184618878


NPI Information

NPI: 1184618878
Provider Name: EAST SIDE PATHOLOGY ASSOCIATES MEDICAL GROUP, INC.
Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 05D0861739

Address:
5240 E BEVERLY BLVD
LOS ANGELES, CA
ZIP 90022
Phone: (626) 307-7875
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EAST SIDE PATHOLOGY ASSOCIATES MEDICAL GROUP, INC. is an anatomic pathology and clinical pathology pathology in Los Angeles, CA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. EAST SIDE PATHOLOGY ASSOCIATES MEDICAL GROUP, INC. NPI is 1184618878. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5240 E BEVERLY BLVD
LOS ANGELES, CA
ZIP 90022-002
Phone: (626) 307-7875
Fax: (626) 307-7875

The provider's authorized official is Moises R Zepeda .
The authorized official title is President and has the following contact phone number (626) 307-7875.

The CLIA number assigned to this NPI record is 05D0861739 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2005 and was last updated on 4/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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