Organization
ORANGE COUNTY PATHOLOGY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON FRANKLIN SASSOON PH.D., M.D. (PRESIDENT/PATHOLOGIST)
(714) 288-4044
Entity
Organization
Contact information
Practice address
805 W LA VETA AVE STE 104, ORANGE, CA 92868-3928
(714) 288-4044
(714) 288-4042
Mailing address
805 W LA VETA AVE STE 104, ORANGE, CA 92868-3928
(714) 288-4044
(714) 288-4042
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0579177
CLIA
CA
05
—
GR0015550
—
CA
05
—
GR0015551
—
CA
Enumeration date
11/07/2006
Last updated
10/06/2022
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