| 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 |