# INTERSCOPE PATHOLOGY MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104830074
- **Authorized official:** DR. BRYAN T LIN M.D. (TREASUER/PRESIDENT)
- **Authorized official phone:** (818) 992-7848

## Contact information

- **Practice address:** 30700 RUSSELL RANCH RD SUITE 250, UNIT 235, WESTLAKE VILLAGE, CA 91362-5907
- **Practice address phone:** (818) 992-7848
- **Practice address fax:** (818) 992-7748
- **Mailing address:** 30700 RUSSELL RANCH RD STE 250, WESTLAKE VILLAGE, CA 91362-9507
- **Mailing address phone:** (818) 992-7848
- **Mailing address fax:** (818) 992-7748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 05D0700248 | CA | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 01/05/2026