Organization
CITRUS PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A FRANKEL M.D. (MANAGING PARTNER)
(909) 599-6811
Entity
Organization
Contact information
Practice address
1420 S CENTRAL AVE, DEPT OF PATHOLOGY, GLENDALE, CA 91204-2508
(818) 502-2321
(818) 409-7708
Mailing address
1420 S CENTRAL AVE, DEPT OF PATHOLOGY, GLENDALE, CA 91204-2508
(818) 502-2321
(818) 409-7708
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0013380
—
CA
05
—
GR0013381
—
CA
05
—
GR0013382
—
CA
Enumeration date
09/08/2005
Last updated
01/30/2014
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