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Organization

RICHARD PROTZEL MD, INC.

Active
Parent organization
RICHARD PROTZEL MD,INC.
Other names
Protzel Pathology Laboratory
Organization subpart
Yes

Provider details

NPI number
Legal business name
RICHARD PROTZEL MD,INC.
Authorized official
DR. RICHARD PROTZEL M.D. (PATHOLOGIST OWNER)
(310) 858-0874
Entity
Organization

Contact information

Practice address
9735 WILSHIRE BLVD # 249, BEVERLY HILLS, CA 90212-2107
(310) 858-0774
(310) 858-0983
Mailing address
9735 WILSHIRE BLVD # 249, BEVERLY HILLS, CA 90212-2107
(310) 858-0774
(310) 858-0983

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LAB04134F
CA
Enumeration date
02/05/2007
Last updated
06/27/2008
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