Paradise Valley Pathology Medical Group
LBN: Paradise Valley Pathology Medical Group
Paradise Valley Pathology Medical Group is an health care organization with primary practice located at 2400 E 4Th St , National City CA 91950-2026. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is the primary health care specialty.
Paradise Valley Pathology Medical Group can be contacted via phone (619) 470-4175, or through Gersenfish, Gilbert via phone (619) 470-4175.
Contact Information
Primary practice address
2400 E 4Th St
National City CA 91950-2026
Phone: (619) 470-4175
Fax:
Website:
Authorized official contact:
Name: Gersenfish, Gilbert Doctor of Medicine (MD)
Phone: (619) 470-4175
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X |
Profile Details
| NPI number | 1932169265 |
|---|---|
| LBN Legal business name | Paradise Valley Pathology Medical Group |
| DBA Doing business as | |
| Authorized official | Gersenfish, Gilbert Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 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 | 1932169265 | NPPES |
| California | MEDICAID | GR0088470 | |
| California | Other | ZZZ01421Z |
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