Organization
APEX PATHOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINAY M RAO (ADMINISTRATOR)
(951) 640-3027
Entity
Organization
Contact information
Practice address
1117 E DEVONSHIRE AVE, DEPARTMENT OF PATHOLOGY, HEMET, CA 92543-3083
(951) 925-6318
(951) 766-6408
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
05D0573549
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
05D0573549
CA
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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