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Organization
CMCLA PATHOLOGY MEDICAL GROUP
Active
Organization
CMCLA PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NACHAZEL M.D. (PATHOLOGIST/OWNER)
(213) 742-5793
Entity
Organization
Contact information
Practice address
1401 SOUTH GRAND AVENUE, LOS ANGELES, CA 90015-3010
(213) 742-5793
(419) 866-5453
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
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
07/08/2006
Last updated
09/11/2015
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