# MEMORIAL PATHOLOGY MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1477515500
- **Authorized official:** WILLIAM POWER MD (LABORATORY DIRECTOR)
- **Authorized official phone:** (310) 836-7000

## Contact information

- **Practice address:** 3828 DELMAS TER, CULVER CITY, CA 90232-2713
- **Practice address phone:** (310) 836-7000
- **Practice address fax:** (310) 815-3107
- **Mailing address:** PO BOX 10076, VAN NUYS, CA 91410-0076
- **Mailing address phone:** (805) 578-8300
- **Mailing address fax:** (805) 578-8950

## 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:** 04/04/2006
- **Last updated:** 01/17/2013