# SAN DIEGO PATHOLOGISTS MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1982619466
- **Authorized official:** CARLA STAYBOLDT M.D. (PRESIDENT)
- **Authorized official phone:** (800) 288-8325

## Contact information

- **Practice address:** 7592 METROPOLITAN DR, SUITE 405-407, SAN DIEGO, CA 92108-4428
- **Practice address phone:** (619) 297-4900
- **Practice address fax:** (619) 297-5460
- **Mailing address:** 5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
- **Mailing address phone:** (800) 288-8325
- **Mailing address fax:** (419) 866-5453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | NULL | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | — | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | NULL | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | — | — |
| 207ZI0100X | Immunopathology Physician | — | NULL | — |
| 207ZI0100X | Immunopathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 07/13/2026