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Organization
GARDEN GROVE PATHOLOGY MEDICAL GROUP PC
Active
Organization
GARDEN GROVE PATHOLOGY MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SI VAN NGUYEN M.D. (PRESIDENT)
(949) 874-0827
Entity
Organization
Contact information
Practice address
24892 PASEO VENDAVAL, LAKE FOREST, CA 92630-2139
(949) 874-0827
Mailing address
24892 PASEO VENDAVAL, LAKE FOREST, CA 92630-2139
(949) 874-0827
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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