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Organization
EAST VALLEY PATHOLOGY MEDICAL GROUP
Active
Organization
EAST VALLEY PATHOLOGY MEDICAL GROUP
Active
Other names
GLENDORA PATHOLOGY MEDICAL GROUP INC
Organization subpart
No
Provider details
NPI number
Authorized official
TONY HSIEH MD (PRESIDENT)
(626) 335-0231
Entity
Organization
Contact information
Practice address
150 W ROUTE 66, GLENDORA, CA 91740-6207
(626) 852-6128
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
NULL
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
03/28/2006
Last updated
07/02/2008
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