Organization
BAKERSFIELD PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIBETH GUINTO MIRANDA MD (MANAGING PARTNER)
(661) 336-0622
Entity
Organization
Contact information
Practice address
3000 SILLECT AVE, BAKERSFIELD, CA 93308-6336
(661) 336-0622
(661) 322-0239
Mailing address
1633 ERRINGER RD, 1ST FLOOR, SIMI VALLEY, CA 93065-3583
(661) 336-0622
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0998287
CA
Other
Enumeration date
10/30/2008
Last updated
05/11/2016
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