| NPI | 1770098816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN GAMEZ Medical Director 949-419-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |