| NPI | 1588461008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMRA DAVIS Administrator 714-812-2989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-29 |