NPI | 1215283619 |
---|---|
Doing Business As | OC PATH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JON P LAKE President 323-730-7371 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA 05D0058772) |
Enumeration Date | 2012-08-03 |
Last Update Date | 2012-08-03 |