Organization · NPI-2

California Pacific Pathology Medical Group

Pathology, Clinical Pathology/Laboratory Medicine · San Francisco, CA

NPI number1164509337
StatusActive
Last updated in NPPESJan 11, 2008

Details

NPI
1164509337
Entity type
Organization (NPI-2)
Legal business name
California Pacific Pathology Medical Group
Organization subpart
No
Enumeration date
Nov 1, 2006
Last updated
Jan 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine––Yes

Practice location

3555 Cesar Chavez
San Francisco, CA 94110-4403

Phone 415-641-6574 · Fax 415-641-6717

Mailing address

Po Box 26060
Fresno, CA 93729-6060

Phone 415-600-2200 · Fax 415-750-5001

Authorized official

John C Moretto
Administrator
4156416574

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