# GLENVIEW PATHOLOGY MEDICAL GROUP

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

## Provider details

- **NPI number:** 1952363012
- **Authorized official:** MARGARETE E ROSE MD (PRESIDENT)
- **Authorized official phone:** (310) 642-0325

## Contact information

- **Practice address:** 5525 W SLAUSON AVE, LOS ANGELES, CA 90056-1047
- **Practice address phone:** (310) 642-0325
- **Mailing address:** PO BOX 10076, VAN NUYS, CA 91410-0076
- **Mailing address phone:** (805) 578-8300
- **Mailing address fax:** (805) 578-8950

## 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:** 04/04/2006
- **Last updated:** 08/22/2020