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Organization
CALIFORNIA PATHOLOGY MEDICAL GROUP
Active
Organization
CALIFORNIA PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ENFIELD (MANAGING PARTNER)
(209) 473-6555
Entity
Organization
Contact information
Practice address
5555 W LAS POSITAS BLVD, PLEASANTON, CA 94588-4000
(209) 473-6555
(209) 473-6544
Mailing address
3116 W MARCH LN STE 200, STOCKTON, CA 95219-2370
(209) 473-6555
(209) 473-6544
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090470
—
CA
01
—
P00116598
MEDICARE RAILROAD
CA
Enumeration date
07/03/2006
Last updated
08/22/2020
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