Mariza De Peralta-Venturina
Pathology, Anatomic Pathology & Clinical Pathology in West Hollywood, CA. Individual provider (NPI-1).
Details
- NPI
- 1326007253
- Entity type
- Individual (NPI-1)
- Name
- Mariza De Peralta-Venturina
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2006
- Last updated
- May 13, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PATHOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 4301061120 | MI | Yes |
Practice location
8700 Beverly BlvdSuite 8709
West Hollywood, CA 90048-1804
Phone 310-423-8650 · Fax 310-423-0122
Mailing address
8700 Beverly BlvdSuite 8709
West Hollywood, CA 90048-1804
Phone 310-423-8650 · Fax 310-423-0122
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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