# PATHOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA

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

## Provider details

- **NPI number:** 1912991597
- **Authorized official:** JOSE M ESTEBAN M.D. (MANAGING PARTNER)
- **Authorized official phone:** (818) 847-6052

## Contact information

- **Practice address:** 501 S BUENA VISTA ST, DEPT OF PATHOLOGY, BURBANK, CA 91505-4809
- **Practice address phone:** (818) 847-6052
- **Practice address fax:** (818) 847-6029
- **Mailing address:** 2219 W OLIVE AVE \# 219, BURBANK, CA 91506-2625
- **Mailing address phone:** (818) 847-6052
- **Mailing address fax:** (323) 784-2904

## 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:** 09/09/2005
- **Last updated:** 04/26/2017