Organization
CALIFORNIA PACIFIC PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C MORETTO M.D. (ADMINISTRATOR)
(415) 641-6574
Entity
Organization
Contact information
Practice address
3555 CESAR CHAVEZ, SAN FRANCISCO, CA 94110-4403
(415) 641-6574
(415) 641-6717
Mailing address
PO BOX 26060, FRESNO, CA 93729-6060
(415) 600-2200
(415) 750-5001
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0053731
—
CA
Enumeration date
11/01/2006
Last updated
01/11/2008
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