Organization
DELTA PATHOLOGY ASSOCIATES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT K. SIU M.D. (OWNER)
(209) 477-4432
Entity
Organization
Contact information
Practice address
3133 W MARCH LN, SUITE 1040, STOCKTON, CA 95219-2336
(209) 477-4432
(209) 320-6136
Mailing address
PO BOX 77800, STOCKTON, CA 95267-1100
(209) 477-4432
(209) 320-6136
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
05D0609388
CA
207ZC0500X
Cytopathology Physician
05D0609388
CA
207ZD0900X
Dermatopathology (Pathology) Physician
05D0609388
CA
207ZH0000X
Hematology (Pathology) Physician
05D0609388
CA
207ZI0100X
Immunopathology Physician
05D0609388
CA
207ZM0300X
Medical Microbiology Physician
05D0609388
CA
207ZN0500X
Neuropathology Physician
05D0609388
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
05D0609388
CA
207ZP0104X
Chemical Pathology Physician
05D0609388
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
05D0609388
CA
207ZP0213X
Pediatric Pathology Physician
05D0609388
CA
291U00000X
Clinical Medical Laboratory
Primary
05D0609388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220010681
RAILROAD MEDICARE
CA
05
—
LAB09388F
—
CA
Enumeration date
03/09/2006
Last updated
09/11/2010
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