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:
Map and Directions
Authorized official contact:
Name: Andorka, Douglas Doctor of Medicine (MD)
Phone: (714) 741-2765

Health care specialties

SpecialtyCodeLicense #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 5 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 1962463364 NPPES
California MEDICAID GR0064593

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