| NPI | 1598760985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PINASCO Delegated Official 209-577-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA C32684) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CA C32684) |
| 207ZD0900X Pathology, Dermatopathology (Licence: CA C32684) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: CA C32684) | |
| 207ZI0100X Pathology, Immunopathology (Licence: CA C32684) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2024-09-09 |