Organization
SOUTH BAY PATHOLOGY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY WONG M.D. (MANAGING PARTNER)
(408) 259-5000
Entity
Organization
Contact information
Practice address
1322 WHITE OAKS RD, CAMPBELL, CA 95008-6723
(408) 259-5000
Mailing address
PO BOX 846338, LOS ANGELES, CA 90084-6338
(408) 259-5000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064841
—
CA
Enumeration date
09/09/2005
Last updated
07/30/2025
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