Organization · NPI-2

Children'S Pathology Consultants Medical Corp., INC.

Pathology, Pediatric Pathology · Oakland, CA

NPI number1750417044
StatusActive
Last updated in NPPESJun 15, 2016

Details

NPI
1750417044
Entity type
Organization (NPI-2)
Legal business name
Children'S Pathology Consultants Medical Corp., INC.
Organization subpart
No
Enumeration date
Feb 23, 2007
Last updated
Jun 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0213X Pathology, Pediatric PathologyG64565CAYes

Practice location

747 52nd St
Oakland, CA 94609-1809

Phone 510-428-3530 · Fax 510-601-3915

Mailing address

252 Donald Dr
Moraga, CA 94556-2310

Phone 510-428-3162 · Fax 510-601-3915

Authorized official

Jon Rowland
Head Of Dept
5104283162

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