Cmcla Pathology Medical Group

LBN: Cmcla Pathology Medical Group
Cmcla Pathology Medical Group is an health care organization with primary practice located at 1401 South Grand Avenue , Los Angeles CA 90015-3010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Cmcla Pathology Medical Group can be contacted via phone (213) 742-5793, or through Nachazel, John via phone (213) 742-5793.

Contact Information

Primary practice address
1401 South Grand Avenue Los Angeles CA 90015-3010
Phone: (213) 742-5793
Fax: (419) 866-5453
Website:
Map and Directions
Authorized official contact:
Name: Nachazel, John Doctor of Medicine (MD)
Phone: (213) 742-5793

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1316970932
LBN Legal business name Cmcla Pathology Medical Group
DBA Doing business as
Authorized official Nachazel, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Sep 11th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316970932 NPPES
California MEDICAID GR0059120

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