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Organization

ARCADIA PATHOLOGY MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH L SAEGER M.D. (PRESIDENT)
(626) 445-4441
Entity
Organization

Contact information

Practice address
300 W HUNTINGTON DR, ARCADIA, CA 91007-3402
(626) 445-4441
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CN8195
RAILROAD MCARE
CA
01
GR0058000
DHS GROUP ID
CA
01
ZZZ38986Z
BLUE SHIELD GROUP ID
CA
Enumeration date
03/17/2006
Last updated
04/21/2008
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