# BACH MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bach Diagnostics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902280019
- **Authorized official:** DR. DYLAN BACH M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (714) 273-4991

## Contact information

- **Practice address:** 17672 COWAN, IRVINE, CA 92614-6027
- **Practice address phone:** (800) 544-4181
- **Practice address fax:** (949) 236-6646
- **Mailing address:** 17672 COWAN, IRVINE, CA 92614-6027
- **Mailing address phone:** (800) 544-4181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 07/17/2015
- **Last updated:** 11/26/2024