Organization
SPECIALIZED UNIVERSITY PATHOLOGISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIARASH MICHEL MD (MD/OWNER)
(424) 245-7284
Entity
Organization
Contact information
Practice address
931 BUENA VISTA ST STE 200B, DUARTE, CA 91010-1713
(424) 302-3307
Mailing address
PO BOX 745227, LOS ANGELES, CA 90074-5227
(424) 245-7284
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G81612
CA
Other
Enumeration date
03/20/2015
Last updated
12/10/2025
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