Organization
MEMORIAL PATHOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM POWER MD (PRESIDENT)
(562) 907-1742
Entity
Organization
Contact information
Practice address
14900 IMPERIAL HWY, LA MIRADA, CA 90638-2172
(562) 944-1900
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
05D0897627
CA
Other
Enumeration date
12/17/2009
Last updated
03/08/2010
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