# PRECISION PATHOLOGY MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** YOSEMITE PATHOLOGY MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295797355
- **Legal business name:** YOSEMITE PATHOLOGY MEDICAL GROUP
- **Authorized official:** ANTHONY VICTORIO MD (PRESIDENT)
- **Authorized official phone:** (209) 577-1200

## Contact information

- **Practice address:** 6001 NORRIS CANYON RD, SAN RAMON, CA 94583-5400
- **Practice address phone:** (925) 275-8408
- **Mailing address:** PO BOX 576730, MODESTO, CA 95357-6730
- **Mailing address phone:** (209) 577-1200
- **Mailing address fax:** (209) 577-6517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | — | NULL | — |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | — | — | — |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | NULL | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | — | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | NULL | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | — | — |
| 207ZI0100X | Immunopathology Physician | — | NULL | — |
| 207ZI0100X | Immunopathology Physician | — | — | — |
| 207ZM0300X | Medical Microbiology Physician | — | NULL | — |
| 207ZM0300X | Medical Microbiology Physician | — | — | — |
| 207ZN0500X | Neuropathology Physician | — | NULL | — |
| 207ZN0500X | Neuropathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 207ZP0104X | Chemical Pathology Physician | — | NULL | — |
| 207ZP0104X | Chemical Pathology Physician | — | — | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |
| 207ZP0213X | Pediatric Pathology Physician | — | NULL | — |
| 207ZP0213X | Pediatric Pathology Physician | — | — | — |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 11/14/2013