Organization
HOLLYWOOD PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL PHILIP TRELING M.D. (PARTNER)
(323) 913-4934
Entity
Organization
Contact information
Practice address
1300 N VERMONT AVE, CLINICAL LAB, LOS ANGELES, CA 90027-6005
(323) 913-4934
(323) 913-4849
Mailing address
1300 N VERMONT AVE, CLINICAL LAB, LOS ANGELES, CA 90027-6005
(323) 913-4934
(323) 913-4849
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
FNP9992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZT40063H
—
CA
Enumeration date
03/30/2006
Last updated
08/22/2020
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