Organization
EAST SIDE PATHOLOGY ASSOCIATES MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOISES R ZEPEDA M.D. (PRESIDENT)
(626) 307-7875
Entity
Organization
Contact information
Practice address
5240 E BEVERLY BLVD, LOS ANGELES, CA 90022-2002
(626) 307-7875
(626) 307-7875
Mailing address
5240 E BEVERLY BLVD, LOS ANGELES, CA 90022-2002
(626) 307-7875
(626) 307-7875
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/08/2005
Last updated
04/27/2014
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