# HOLLYWOOD PATHOLOGY MEDICAL GROUP

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

## Provider details

- **NPI number:** 1487615324
- **Authorized official:** DR. CARL PHILIP TRELING M.D. (PARTNER)
- **Authorized official phone:** (323) 913-4934

## Contact information

- **Practice address:** 1300 N VERMONT AVE, CLINICAL LAB, LOS ANGELES, CA 90027-6005
- **Practice address phone:** (323) 913-4934
- **Practice address fax:** (323) 913-4849
- **Mailing address:** 1300 N VERMONT AVE, CLINICAL LAB, LOS ANGELES, CA 90027-6005
- **Mailing address phone:** (323) 913-4934
- **Mailing address fax:** (323) 913-4849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | FNP9992 | CA | Yes |

## Other

- **Enumeration date:** 03/30/2006
- **Last updated:** 08/22/2020