# MEMORIAL PATHOLOGY MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1417409269
- **Authorized official:** DR. WILLIAM POWER M.D. (PRESIDENT)
- **Authorized official phone:** (323) 267-0477

## Contact information

- **Practice address:** 4081 E OLYMPIC BLVD, LOS ANGELES, CA 90023-3330
- **Practice address phone:** (323) 267-0477
- **Mailing address:** 1633 ERRINGER RD, 1ST FLOOR, SIMI VALLEY, CA 93065-3583
- **Mailing address phone:** (805) 578-8300
- **Mailing address fax:** (805) 578-3911

## 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:** 10/27/2016
- **Last updated:** 11/09/2016