Organization
PATHOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M ESTEBAN M.D. (MANAGING PARTNER)
(818) 847-6052
Entity
Organization
Contact information
Practice address
501 S BUENA VISTA ST, DEPT OF PATHOLOGY, BURBANK, CA 91505-4809
(818) 847-6052
(818) 847-6029
Mailing address
2219 W OLIVE AVE # 219, BURBANK, CA 91506-2625
(818) 847-6052
(323) 784-2904
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0011010
—
CA
Enumeration date
09/09/2005
Last updated
04/26/2017
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