Organization
WHITTIER PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN S HONDA MD (PRESIDENT)
(562) 698-0811
Entity
Organization
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 906-5500
(562) 789-6872
Mailing address
PO BOX 511246, LOS ANGELES, CA 90051-3045
(562) 698-0811
(562) 789-4355
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP6270
RAILROAD MEDICARE
CA
05
—
GR0048460
—
CA
01
—
ZZZ54603Z
BLUE SHIELD
CA
Enumeration date
02/23/2007
Last updated
01/26/2022
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