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Organization
CPLM PATHOLOGY OUTREACH SERVICES
Active
Organization
CPLM PATHOLOGY OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHUL B. AMIN M.D. (PRESIDENT)
(310) 423-6631
Entity
Organization
Contact information
Practice address
8700 BEVERLY BLVD, ROOM 8725, LOS ANGELES, CA 90048-1804
(310) 423-6627
(310) 423-0170
Mailing address
8391 BEVERLY BLVD, #457, LOS ANGELES, CA 90048-2633
(310) 423-6627
(310) 423-0170
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
NULL
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
NULL
207ZC0006X
Clinical Pathology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
NULL
207ZP0101X
Anatomic Pathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
NULL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Enumeration date
01/21/2010
Last updated
09/14/2010
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