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Organization
AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC.
Active
Organization
AFFILIATED PATHOLOGISTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANETTE KENNEBREW (ADMINISTRATOR)
(310) 225-3221
Entity
Organization
Contact information
Practice address
20001 S RANCHO WAY, RANCHO DOMINGUEZ, CA 90220-6318
(310) 225-3221
(310) 698-7040
Mailing address
20001 S RANCHO WAY, RANCHO DOMINGUEZ, CA 90220-6318
(310) 225-3221
(310) 698-7040
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
03/14/2025
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