# PATHOLOGY SCIENCE MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1801039250
- **Authorized official:** DR. MOISES R. ZEPEDA MD (PRESIDENT)
- **Authorized official phone:** (626) 570-5752

## Contact information

- **Practice address:** 5240 E BEVERLY BLVD, LOS ANGELES, CA 90022-2002
- **Practice address phone:** (626) 570-5752
- **Practice address fax:** (626) 458-2004
- **Mailing address:** 5240 E BEVERLY BLVD, LOS ANGELES, CA 90022-2002
- **Mailing address phone:** (626) 570-5752
- **Mailing address fax:** (626) 458-2004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | A62532 | CA | Yes |

## Other

- **Enumeration date:** 04/15/2009
- **Last updated:** 04/15/2009