| NPI | 1316196892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BOONYASAMPANT President 714-446-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2025-08-05 |