Organization
IMPERIAL PATHOLOGY INC., A CALIFORNIA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS JUAREZ MD (CEO)
(760) 604-4233
Entity
Organization
Contact information
Practice address
1415 ROSS AVE, EL CENTRO, CA 92243-4306
(760) 339-7281
(760) 339-4570
Mailing address
778 AGUA VISTA DR, CHULA VISTA, CA 91914-4302
(760) 604-4233
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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