East Side Pathology Associates Medical Group, INC.
Pathology, Anatomic Pathology & Clinical Pathology in Los Angeles, CA. Organization (NPI-2).
NPI number1184618878
StatusActive
Last updated in NPPESApr 27, 2014
Details
- NPI
- 1184618878
- Entity type
- Organization (NPI-2)
- Legal business name
- East Side Pathology Associates Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Sep 8, 2005
- Last updated
- Apr 27, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | – | Yes |
Practice location
5240 E Beverly BlvdLos Angeles, CA 90022-2002
Phone 626-307-7875 · Fax 626-307-7875
Mailing address
5240 E Beverly BlvdLos Angeles, CA 90022-2002
Phone 626-307-7875 · Fax 626-307-7875
Authorized official
Moises R Zepeda
President
6263077875
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