Individual
PAMELA J WAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST, STE 2960, LOMA LINDA, CA 92354-3450
(909) 558-6422
Mailing address
PO BOX 1740, LOMA LINDA, CA 92354-0240
(909) 558-2392
(909) 793-2931
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
G60753
CA
207ZP0101X
Anatomic Pathology Physician
G60753
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G60753
CA
Other
Enumeration date
07/25/2006
Last updated
01/11/2018
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