| NPI | 1932283264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA QUINONEZ Billing Representative 408-884-2712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA OSD0712326) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-06-24 |