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Organization
GLENVIEW PATHOLOGY MEDICAL GROUP
Active
Organization
GLENVIEW PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARETE E ROSE MD (PRESIDENT)
(310) 642-0325
Entity
Organization
Contact information
Practice address
5525 W SLAUSON AVE, LOS ANGELES, CA 90056-1047
(310) 642-0325
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
04/04/2006
Last updated
08/22/2020
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