# DERMPATH LAB UCI

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

## Provider details

- **NPI number:** 1699834614
- **Authorized official:** SENAIT W DYSON MD (PRESIDENT)
- **Authorized official phone:** (714) 456-5557

## Contact information

- **Practice address:** 101 THE CITY DRIVE, BLDG 52, ORANGE, CA 92868
- **Practice address phone:** (714) 456-5557
- **Practice address fax:** (714) 456-8859
- **Mailing address:** 5856 CORPORATE AVE, SUITE 200, CYPRESS, CA 90630
- **Mailing address phone:** (714) 236-4000
- **Mailing address fax:** (714) 236-4006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | NULL | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 09/11/2025