# IMPERIAL PATHOLOGY INC., A CALIFORNIA PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1790597524
- **Authorized official:** DOUGLAS JUAREZ MD (CEO)
- **Authorized official phone:** (760) 604-4233

## Contact information

- **Practice address:** 1415 ROSS AVE, EL CENTRO, CA 92243-4306
- **Practice address phone:** (760) 339-7281
- **Practice address fax:** (760) 339-4570
- **Mailing address:** 778 AGUA VISTA DR, CHULA VISTA, CA 91914-4302
- **Mailing address phone:** (760) 604-4233

## 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:** 01/20/2025
- **Last updated:** 01/20/2025