Individual
DR. CHRISTOPHER TOSOONIAN VANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31872 COAST HWY, SOUTH COAST MEDICAL CENTER, PATHOLOGY DEPT, LAGUNA BEACH, CA 92651
(949) 499-7181
(949) 499-7248
Mailing address
460 EL CAMINO DEL MAR, LAGUNA BEACH, CA 92651
(949) 494-0102
(949) 494-5950
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
C0038111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C381110
BLUE CROSS
—
05
—
00C381110
—
CA
01
—
C38111
STATE LICENSE NUMBER
CA
Enumeration date
09/20/2006
Last updated
12/20/2007
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