# MEMORIAL PATHOLOGY MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1932438140
- **Authorized official:** WILLIAM POWER MD (PRESIDENT)
- **Authorized official phone:** (562) 907-1742

## Contact information

- **Practice address:** 14900 IMPERIAL HWY, LA MIRADA, CA 90638-2172
- **Practice address phone:** (562) 944-1900
- **Mailing address:** PO BOX 10076, VAN NUYS, CA 91410-0076
- **Mailing address phone:** (805) 578-8300
- **Mailing address fax:** (805) 578-3911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 05D0897627 | CA | Yes |

## Other

- **Enumeration date:** 12/17/2009
- **Last updated:** 03/08/2010