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Organization

PATHOLOGY MEDICAL GROUP OF RIVERSIDE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DARREN OKADA MD (OWNER - MEDICAL DIRECTOR)
(951) 788-3243
Entity
Organization

Contact information

Practice address
4445 MAGNOLIA AVE, RIVERSIDE COMMUNITY HOSPITAL, RIVERSIDE, CA 92501
(951) 788-3243
(951) 788-3633
Mailing address
PO BOX 260071, SAINT LOUIS, MO 63126-8071
(314) 849-3535
(844) 410-3800

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0087630
CA
Enumeration date
12/08/2006
Last updated
11/27/2019
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