Organization
ASSOCIATED PATHOLOGY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA QUINONEZ (BILLING REPRESENTATIVE)
(408) 884-2712
Entity
Organization
Contact information
Practice address
105A COOPER CT, LOS GATOS, CA 95032-7604
(408) 399-5010
(408) 884-2734
Mailing address
PO BOX 665, LOS GATOS, CA 95031-0665
(408) 399-5010
(408) 884-2734
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
OSD0712326
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH7923
MEDICARE RAILROAD
CA
05
—
LAB58812F
—
CA
01
—
Q682
SAN FRANCISCO HEALTH PLAN
CA
Enumeration date
10/24/2006
Last updated
06/24/2020
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