Organization
VALLEY PATHOLOGY MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY KOLINS M.D. (PRESIDENT)
(760) 739-3039
Entity
Organization
Contact information
Practice address
2185 CITRACADO PKWY, ESCONDIDO, CA 92029-4159
(442) 281-5000
(419) 866-5453
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0052130
—
CA
05
—
GR0052131
—
CA
01
—
ZZZ32544Z
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
10/03/2006
Last updated
07/09/2025
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