Placentia Pathology Medical Group
LBN: Placentia Pathology Medical Group
Placentia Pathology Medical Group is an health care organization with primary practice located at 12601 Garden Grove Blvd , Garden Grove CA 92843-1908. 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.
Placentia Pathology Medical Group can be contacted via phone (714) 741-2765, or through Andorka, Douglas via phone (714) 741-2765.
Contact Information
Primary practice address
12601 Garden Grove Blvd
Garden Grove CA 92843-1908
Phone: (714) 741-2765
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X |
Profile Details
| NPI number | 1962463364 |
|---|---|
| LBN Legal business name | Placentia Pathology Medical Group |
| DBA Doing business as | |
| Authorized official | Andorka, Douglas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1962463364 | NPPES |
| California | MEDICAID | GR0064593 |
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