Organization
VALLEY PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MARE MD (PRESIDENT)
(951) 925-6318
Entity
Organization
Contact information
Practice address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(951) 652-2811
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2006190
CA
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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