Organization
A C W MEDICAL PRODUCTS INC
Active
Other names
DOWNEY PATHOLOGY MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ARTERBERRY M.D. (PRESIDENT)
(562) 904-5000
Entity
Organization
Contact information
Practice address
11500 BROOKSHIRE AVE, DOWNEY, CA 90241-4917
(562) 904-5000
(562) 904-5310
Mailing address
PO BOX 7630, LAGUNA NIGUEL, CA 92607-7630
(949) 643-3345
(949) 643-3560
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0547507
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A205470
—
CA
01
—
DN3076
MEDICARE RAILROAD
—
01
—
ZZZ47744Z
BLUE SHIELD
—
Enumeration date
09/16/2006
Last updated
03/27/2009
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