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Organization
BACH MEDICAL GROUP, INC.
Active
Organization
BACH MEDICAL GROUP, INC.
Active
Other names
Bach Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DYLAN BACH M.D. (MEDICAL DIRECTOR)
(714) 273-4991
Entity
Organization
Contact information
Practice address
17672 COWAN, IRVINE, CA 92614-6027
(800) 544-4181
(949) 236-6646
Mailing address
17672 COWAN, IRVINE, CA 92614-6027
(800) 544-4181
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
—
NULL
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
NULL
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
07/17/2015
Last updated
11/26/2024
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