# CPLM PATHOLOGY OUTREACH SERVICES

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

## Provider details

- **NPI number:** 1235460890
- **Authorized official:** MAHUL B. AMIN M.D. (PRESIDENT)
- **Authorized official phone:** (310) 423-6631

## Contact information

- **Practice address:** 8700 BEVERLY BLVD, ROOM 8725, LOS ANGELES, CA 90048-1804
- **Practice address phone:** (310) 423-6627
- **Practice address fax:** (310) 423-0170
- **Mailing address:** 8391 BEVERLY BLVD, \#457, LOS ANGELES, CA 90048-2633
- **Mailing address phone:** (310) 423-6627
- **Mailing address fax:** (310) 423-0170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 01/21/2010
- **Last updated:** 09/14/2010