# PATHOLOGY MEDICAL GROUP OF RIVERSIDE

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

## Provider details

- **NPI number:** 1417016833
- **Authorized official:** DR. DARREN OKADA MD (OWNER - MEDICAL DIRECTOR)
- **Authorized official phone:** (951) 788-3243

## Contact information

- **Practice address:** 4445 MAGNOLIA AVE, RIVERSIDE COMMUNITY HOSPITAL, RIVERSIDE, CA 92501
- **Practice address phone:** (951) 788-3243
- **Practice address fax:** (951) 788-3633
- **Mailing address:** PO BOX 260071, SAINT LOUIS, MO 63126-8071
- **Mailing address phone:** (314) 849-3535
- **Mailing address fax:** (844) 410-3800

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 11/27/2019