Organization
EAST VALLEY PATHOLOGY MEDICAL GROUP
Active
Other names
GLENDORA PATHOLOGY MEDICAL GROUP INC
Organization subpart
No
Provider details
NPI number
Authorized official
TONY HSIEH MD (PRESIDENT)
(626) 335-0231
Entity
Organization
Contact information
Practice address
150 W ROUTE 66, GLENDORA, CA 91740-6207
(626) 852-6128
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
05
—
00G627630
—
CA
Enumeration date
03/28/2006
Last updated
07/02/2008
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