Pacific Pathology Medical Group Inc
LBN: Pacific Pathology Medical Group Inc
Pacific Pathology Medical Group Inc is an health care organization with primary practice located at 555 E Hardy St Pathology Department, Inglewood CA 90301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as the primary health care specialty.
Pacific Pathology Medical Group Inc can be contacted via phone (310) 680-8391, or through Worthen, Willard Frank via phone (310) 680-8391.
Contact Information
Primary practice address
555 E Hardy St Pathology Department
Inglewood CA 90301
Phone: (310) 680-8391
Fax: (310) 412-4501
Website:
Authorized official contact:
Name: Worthen, Willard Frank Doctor of Medicine (MD)
Phone: (310) 680-8391
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X |
Profile Details
| NPI number | 1609953736 |
|---|---|
| LBN Legal business name | Pacific Pathology Medical Group Inc |
| DBA Doing business as | |
| Authorized official | Worthen, Willard Frank Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609953736 | NPPES |
| California | MEDICAID | GR0045861 | |
| California | MEDICAID | GR0045860 |
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