Organization
COASTAL PATHOLOGY MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY T HINO M.D. (PRESIDENT)
(707) 441-4420
Entity
Organization
Contact information
Practice address
2425 HARRISON AVE, EUREKA, CA 95501-3218
(707) 441-4420
(707) 269-3889
Mailing address
2425 HARRISON AVE, EUREKA, CA 95501-3218
(707) 445-8121
(707) 269-3782
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4779028
—
CA
Enumeration date
07/05/2005
Last updated
02/17/2016
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