Organization
MONTEREY PATHOLOGISTS, A MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN HANSEN M.D. (PRESIDENT)
(831) 624-5311
Entity
Organization
Contact information
Practice address
23625 HOLMAN HWY, PATHOLOGY, MONTEREY, CA 93940-5902
(831) 624-5311
Mailing address
23625 HOLMAN HWY, PATHOLOGY, MONTEREY, CA 93940-5902
(831) 624-5311
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ02530Z
BLUE SHIELD
CA
Enumeration date
03/05/2007
Last updated
08/22/2020
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