Organization
ST. FRANCIS PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SCHNEIDER M.D. (DIRECTOR OF LABORATORY)
(310) 900-8883
Entity
Organization
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-8883
(310) 763-3907
Mailing address
9788 WEXFORD CIR, GRANITE BAY, CA 95746-7117
(916) 791-8259
(916) 791-8259
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
FNP 61
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0067990
MEDICAL
CA
Enumeration date
10/05/2006
Last updated
08/22/2020
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