Organization
PATHOLOGY ASSOCIATES OF ANAHEIM A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY WELSH M.D. (PRESIDENT)
(714) 719-2148
Entity
Organization
Contact information
Practice address
1111 W LA PALMA AVE, AMMC - DEPT. OF PATHOLOGY, ANAHEIM, CA 92801-2804
(714) 999-6075
(714) 999-3822
Mailing address
1111 W LA PALMA AVE, ANAHEIM, CA 92801-2804
(714) 999-6075
(714) 999-3822
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G50440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104860
—
CA
01
—
ZZZ69658Z
BLUE SHIELD
CA
Enumeration date
02/14/2007
Last updated
07/31/2023
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